Individual provider · Type 1 NPI

Sameer Ahmed Mallick, MBBS

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1437846276 Active

Practice location

329 N State Of Franklin Rd
Johnson City, TN 37604-6062

Call (423) 979-4100 Map

Fax (423) 979-4134

Mailing address

1 Medical Park Blvd, Ste 205E
Bristol, TN 37620

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 1437846276

Sameer Ahmed Mallick, MBBS's National Provider Identifier is 1437846276, issued on Apr 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 9, 2026.