Individual provider · Type 1 NPI

Imaad Uddin Mallick, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1114855962 Active

Practice location

22201 Moross Rd Suite 50
Detroit, MI 48236

Call (313) 343-7774 Map

Mailing address

20812 Littlestone Rd, Apartment 1
Harper Woods, MI 48225

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 1114855962

Imaad Uddin Mallick, MD's National Provider Identifier is 1114855962, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Sep 25, 2026.