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Individual

DR. RONOBIR RANJAN MALLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Mailing address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.001943
OH
207R00000X
Internal Medicine Physician
Primary
DO1844
NV
208M00000X
Hospitalist Physician
58.001943
OH

Other

Enumeration date
05/16/2007
Last updated
11/12/2024
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