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Individual

SALEEM H MALLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 N BELT LINE RD STE C, MESQUITE, TX 75149-1791
(972) 279-3500
(972) 279-3505
Mailing address
1601 N BELT LINE RD STE C, MESQUITE, TX 75149-1791
(972) 279-3500
(972) 279-3505

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E6487
TX
207RI0011X
Interventional Cardiology Physician
Primary
E6487
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100031870A
OK
05
134053108
TX
05
134053111
TX
05
134053112
TX
01
13913
PARKLAND
01
85240Y
BCBS
TX
Enumeration date
04/25/2006
Last updated
10/06/2014
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