Individual
MR. TAHA RASHID MALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1789
Mailing address
100 AIRPORT GARDENS RD, HAZARD, KY 41701-9529
(160) 647-7871
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56797
KY
Other
Enumeration date
07/11/2017
Last updated
09/13/2022
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