Organization
EASTSIDE NEPHROLOGY PA
Active
Other names
EASTSIDE NEPHROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALMAN RASHEED MALLICK MD (OWNER)
(218) 409-9098
Entity
Organization
Contact information
Practice address
15119 WALLISVILLE RD STE 700, HOUSTON, TX 77049-4631
(832) 631-9363
(832) 631-9463
Mailing address
16374 SOHM CT, EDEN PRAIRIE, MN 55347-3823
(832) 631-9363
(832) 631-9463
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
12/06/2022
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