DR. DEOBRAT CHANDRA MALLICK


Address: 205 Tall Trees Dr, Scranton, PA 18505-2239
Phone: 5706877332

DR. DEOBRAT CHANDRA MALLICK (NPI# 1740535004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740535004
Entity Type Individual
Full Name DR. DEOBRAT CHANDRA MALLICK
Credential M.D.
Practice Address 205 Tall Trees Dr
Scranton
PA 18505-2239
Practice Telephone 5706877332
Mailing Telephone 5706877332
Enumeration Date 2012-07-23
Last Update Date 2012-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MT200781 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 205 TALL TREES DR
City SCRANTON
State PA
Zip Code 18505-2239

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952927998 Gary Chee Seng Oh Student in an Organized Health Care Education/Training Program 501 S. Washintgon Avenue, Scranton, PA 18505 2020-06-24
1851915813 Usman Amjia Manzoor Student in an Organized Health Care Education/Training Program 501 South Washintgon Avenue, Scranton, PA 18505 2020-06-04
1396368791 Navharsh Kaur Sekhon Student in an Organized Health Care Education/Training Program 501 S, Washington Avenue, Scranton, PA 18505 2020-05-20
1275154395 Yamini Indravadan Patel Student in an Organized Health Care Education/Training Program 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 2020-04-29
1225659584 Raza Naseer Student in an Organized Health Care Education/Training Program 501 S. Washington Avenue, Scranton, PA 18505 2020-04-28
1932720307 Mohammad Asim Amjad Student in an Organized Health Care Education/Training Program 501 South Washington Avenue, Scranton, PA 18505 2020-04-27
1033739404 Amina Khan Student in an Organized Health Care Education/Training Program 501 S Washington Avenue, Scranton, PA 18505 2020-04-25
1245862259 Princy Kanakkumar Shah Internal Medicine Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 2020-02-07
1902363005 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 628 Genet Street, Scranton, PA 18505 2019-02-25
1629596242 Morgan Aubrey Yackey Social Worker 1509 Maple St., Scranton, PA 18505 2017-09-04
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245862259 Princy Kanakkumar Shah Internal Medicine Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 2020-02-07
1801387394 Talha Zain Tariq Internal Medicine 111 N Washington Ave., Scranton, PA 18503 2018-05-21
1467958025 Hamza Hafeez Internal Medicine The Wright Center, 111 N. Washington Avenue, Suite 1, Scranton, PA 18503 2018-04-03
1346772027 Nirali Pravinchandra Patel Internal Medicine 5 South Washington Ave, Suite 1000, Scranton, PA 18505 2017-03-31
1821538281 Kristina Tanovic Internal Medicine 501 South Washington Ave, Suite 100 The Wright Center F, Scranton, PA 18505 2017-03-06
1982951711 Chandrasekharreddy Navuluri Internal Medicine 403 Crestedge Mnr, Scranton, PA 18505-2379 2012-08-10
1205190055 Sherine Tadros Internal Medicine 800 James Ave, Apt# 2222, Scranton, PA 18510-1551 2012-06-26
1528339439 Edward Jan Zaloga Internal Medicine 1371 N Washington Ave, Scranton, PA 18509-2840 2012-01-24
1558631390 Lekshminarayan Raghavakurup Internal Medicine 2000 Tall Trees Dr, 504 Tall Trees Apt, Scranton, PA 18505-2204 2012-01-11
1275814840 Prathiba Katta Internal Medicine 1801 Tall Trees Drive, Scranton, PA 18505-2259 2011-09-08
Find all providers in SCRANTON

Competitor

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City SCRANTON
Zip Code 18505

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Dataset Information

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.

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