Individual
GAGAN C MALLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 301, BROOKLYN, OH 44144-3267
(216) 271-6299
(216) 271-6299
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41404
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3828540
—
TN
Enumeration date
07/31/2006
Last updated
08/14/2014
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