Mall, Gagan Deep

Mall, Gagan Deep is an individual health care provider with primary practice located at 2100 Napa Vallejo Hwy , Napa CA 94558-6234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mall, Gagan Deep can be contacted via phone (707) 253-5434.

Contact Information

Primary practice address
2100 Napa Vallejo Hwy Napa CA 94558-6234
Phone: (707) 253-5434
Fax: (707) 254-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22370 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 22370 Oklahoma

Profile Details

NPI number 1083714919
LBN Legal business name Mall, Gagan Deep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 27th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083714919 NPPES
Oklahoma MEDICAID 200091340A
Oklahoma MEDICAID 1122370

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