Individual
DR. SATISH KUMAR MALLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 346-3686
(570) 558-6838
Mailing address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 346-3686
(570) 558-6838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD061566L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001724417
—
PA
Enumeration date
03/21/2006
Last updated
07/23/2021
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