Individual
DR. SHAHID Q MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3511 TOWN CENTER BLVD S, SUITE #102, SUGAR LAND, TX 77479-1285
(281) 491-1185
(281) 491-1247
Mailing address
3511 TOWN CENTER BLVD S, SUITE #102, SUGAR LAND, TX 77479-1285
(281) 491-1185
(281) 491-1247
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J8042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122372903
—
TX
Enumeration date
08/24/2005
Last updated
10/09/2007
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