Subodh K Mallik, M.D.

NPI #1689628885 in Fort Stockton, Texas

Provider Information

NPI Number: 1689628885
Entity Type: Individual
Name: Subodh K Mallik, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 20, 2006
Last Updated: Oct 9, 2013

Practice Location

Address: 387 W IH 10
City: Fort Stockton
State: Texas
ZIP Code: 79735-2700
Phone: (432) 336-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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