MALLIKA PATEL (NPI# 1265057426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265057426 |
| Entity Type | Individual |
| Full Name | MALLIKA PATEL |
| Credential | MD |
| Practice Address |
1459 Laney Walker Blvd Augusta GA 30912-0002 |
| Mailing Address |
723 Walden Hills Ct # 723 Augusta GA 30909-0233 |
| Practice Telephone | 7067212273 |
| Mailing Telephone | 6308902458 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11905 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497113708 | Mallika H Patel | Nurse Practitioner | 1107 S Cherrywood Dr, Mount Prospect, IL 60056-4549 | 2016-02-01 |
| 1801442165 | Mallika Patel | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2019-08-13 |
| 1528370152 | Mallika S Patel | Optometrist | 4301 Wisconsin Ave Nw, Washington, DC 20016-2160 | 2010-07-12 |
| 1194716977 | Mallika Kantilal Patel | Pharmacist | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2005-11-02 |
| Street Address |
1459 LANEY WALKER BLVD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158900 | Walter Jack Morris | Dentist | 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 | 2006-01-13 |
| 1932725694 | Liniya Tauhidul | Family Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-18 |
| 1740805852 | Nafiz Kalam Sheikh | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0001 | 2020-06-15 |
| 1578188728 | Dhruti Prashant Diwan | Anesthesiology | 1459 Laney Walker Blvd, Augusta, GA 30912-3529 | 2020-06-13 |
| 1043835317 | Jesse William Wayson | Obstetrics & Gynecology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1861017139 | Mac Bohanan | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1609491950 | Taylor Payne | Internal Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1184249443 | Yasasvi Tadavarthi | Internal Medicine | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 | 2020-06-12 |
| 1376168807 | Erica Demaagd | Pediatrics | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 | 2020-06-10 |
| 1487278875 | Trevor Douglas Van De Water | Anesthesiology | 1459 Laney Walker Blvd, Augusta, GA 30912-0004 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380842 | David Reynolds Cromer | Internal Medicine | 528 Walden Hills Ct, Augusta, GA 30909-0225 | 2020-06-12 |
| 1114542305 | Graham Skelton | Internal Medicine | 1480 Wrightsboro Rd Apt 6104, Augusta, GA 30901-3274 | 2020-06-12 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1467015628 | Adam Nikolas Davis | Internal Medicine | 1120 5th St, Augusta, GA 30912-0001 | 2019-04-15 |
| 1528621661 | Chadwick Scott Fitzgerald | Internal Medicine | 1459 Laney Walker Blvd Ste Ae3042, Augusta, GA 30912-0002 | 2019-04-15 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1326501560 | Awlad Hossain Bhuiyan | Internal Medicine | 120 15th St, Augusta, GA 30912-0001 | 2019-04-12 |
| 1033601315 | Mohammad Umair Azam | Internal Medicine | 1120 15th St # Bi5070, Augusta, GA 30912-0004 | 2018-06-03 |
| 1942732334 | Jennifer Espinal | Internal Medicine | 3651 Wheeler Rd Ofc, Augusta, GA 30909-6521 | 2017-04-03 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.