Individual
NADA MALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW STE 4800, WASHINGTON, DC 20010-2916
(202) 476-3000
Mailing address
111 MICHIGAN AVE NW STE 4800, WASHINGTON, DC 20010-2916
(202) 476-3000
(804) 828-2435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101259788
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD045068
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014287839
—
VA
Enumeration date
06/02/2013
Last updated
02/11/2021
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