Individual
DR. PRABIR MULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4608 PENN AVE, PITTSBURGH, PA 15224-1309
(412) 621-4757
(412) 621-9784
Mailing address
4608 PENN AVENE, PITTSBURGH, PA 15224-1309
(412) 621-4757
(412) 621-9784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD030769E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307512
—
PA
Enumeration date
03/14/2006
Last updated
06/23/2014
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