Mallick, Shahid Q

Mallick, Shahid Q is an sole proprietor health care provider with primary practice located at 3511 Town Center Blvd S Suite #102, Sugar Land TX 77479-1285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mallick, Shahid Q can be contacted via phone (281) 491-1185.

Contact Information

Primary practice address
3511 Town Center Blvd S Suite #102 Sugar Land TX 77479-1285
Phone: (281) 491-1185
Fax: (281) 491-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X J8042 Texas

Profile Details

NPI number 1396738415
LBN Legal business name Mallick, Shahid Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Oct 9th, 2007 - about 17 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 1396738415 NPPES
Texas MEDICAID 122372903

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