Mallick, Meher S
Mallick, Meher S is an individual health care provider with primary practice located at 10004 Kennerly Rd Ste 361B , Saint Louis MO 63128-2141. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mallick, Meher S can be contacted via phone (314) 843-3449.Contact Information
Primary practice address
10004 Kennerly Rd Ste 361B
Saint Louis MO 63128-2141
Phone: (314) 843-3449
Fax: (314) 843-8762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2001009904 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2001009904 | Missouri |
Profile Details
| NPI number | 1093789034 |
|---|---|
| LBN Legal business name | Mallick, Meher S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Mar 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093789034 | NPPES |
| Illinois | MEDICAID | 036099093 | |
| Illinois | Other | 390007770 | |
| Illinois | MEDICAID | 6317901 | |
| Illinois | Other | 000013440 |
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