Individual
DR. NASREEN AZHAR MALLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5036
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 466-2593
(318) 483-5091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34676
TN
Other
Enumeration date
09/20/2006
Last updated
05/30/2019
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