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Contact Information

SHAHLA MALLICK, MD
379 DIXMYTH AVE
STE N
CINCINNATI, OH45220-2475
 Phone: 513-246-7000
 Fax: 513-246-7590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAHLA MALLICK · (Female)

NPI # 1629025804
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 06/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35070787
  • OH Medicaid 2212028
  • OH Other P00340572 MEDICARE RR
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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