Organization
MOHAMMAD MALLICK, MD, LLC
Active
Organization
MOHAMMAD MALLICK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD SULTAN MALLICK M.D. (PRESIDENT)
(282) 821-5525
Entity
Organization
Contact information
Practice address
1525 LIBERTY CT, BROOKFIELD, WI 53045-5327
(262) 821-5525
(262) 821-5525
Mailing address
1525 LIBERTY CT, BROOKFIELD, WI 53045-5327
(262) 821-5525
(262) 821-5525
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
22719
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31466300
—
WI
Enumeration date
10/23/2008
Last updated
10/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up