Individual provider · Type 1 NPI

Ismail Hameed Mallick, MD, PhD

Student in an Organized Health Care Education/Training Program · Beachwood, OH

NPI number 1104191485 Active

Practice location

26300 Seville Dr, Apt 201
Beachwood, OH 44122-7594

Call (216) 854-3447 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104191485

Ismail Hameed Mallick, MD, PhD's National Provider Identifier is 1104191485, issued on Mar 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beachwood, OH. The record was last updated on Mar 20, 2012.