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Individual

JAYATI MALLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0001
(409) 772-2222
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265-6234
(409) 772-0620

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
S5008
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
S5008
TX

Other

Enumeration date
04/03/2014
Last updated
12/22/2023
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