Individual provider · Type 1 NPI

Naba Sultan Mallick, MD

Student in an Organized Health Care Education/Training Program · Menomonee Falls, WI

NPI number 1740124866 Active

Practice location

W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518

Call (262) 501-7112 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 1740124866

Naba Sultan Mallick, MD's National Provider Identifier is 1740124866, issued on Apr 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Menomonee Falls, WI. The record was last updated on Apr 17, 2026.