DR. DANIA MALLICK (NPI# 1861011611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861011611 |
| Entity Type | Individual |
| Full Name | DR. DANIA MALLICK |
| Credential | MBBS, MSPH |
| Practice Address |
2750 E Beltline Ave Ne Grand Rapids MI 49525-8614 |
| Practice Telephone | 6162677104 |
| Practice Fax Number | 6162677594 |
| Mailing Telephone | 6162677104 |
| Mailing Fax Number | 6162677594 |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2020-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2750 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458576 | David Robert Franzblau | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2005-12-22 |
| 1609491000 | Spectrum Health Hospitals | Audiologist-Hearing Aid Fitter | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-06-11 |
| 1740801034 | Darla Wheeler | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-28 |
| 1831719970 | Lauren Offerle | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-18 |
| 1295364008 | Brian Wideman | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-03 |
| 1720637176 | Kristin Carolynn Kenny | Physician Assistant | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-09-09 |
| 1639721087 | Maria Elisa Samaniego Izurieta | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-07-15 |
| 1750933107 | Yao Cheng | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-07-15 |
| 1487216503 | Anvita Potluri | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-06-29 |
| 1205498326 | Kostika Mulo | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348813 | Holly Beth Myer | Student in an Organized Health Care Education/Training Program | 2615 3 Mile Rd Ne, Grand Rapids, MI 49525-3944 | 2020-05-28 |
| 1649890559 | Kelsey Anne Knowles | Student in an Organized Health Care Education/Training Program | 2088 Watermark Dr Se, Grand Rapids, MI 49546-9012 | 2020-04-21 |
| 1174142285 | Jeremy David Mormol | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne Ste 501, Grand Rapids, MI 49503-2560 | 2020-04-09 |
| 1417586454 | Ashutosh Agrawal | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne # Mc46, Grand Rapids, MI 49503-2560 | 2020-04-02 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1942858048 | Kyle Brandon Avery | Student in an Organized Health Care Education/Training Program | 223 Prospect Ave Ne, Grand Rapids, MI 49503-5649 | 2019-09-01 |
| 1487209516 | Kathryn Ann Pilczuk | Student in an Organized Health Care Education/Training Program | 333 Bridge St Nw, Grand Rapids, MI 49504-5367 | 2019-08-06 |
| 1831752443 | Mark Pressler | Student in an Organized Health Care Education/Training Program | 15 Michigan St Ne, Grand Rapids, MI 49503-2509 | 2019-04-18 |
| 1043774177 | Rebecca Elyse Mitchell | Student in an Organized Health Care Education/Training Program | 932 Fulton St E Apt 1, Grand Rapids, MI 49503-3565 | 2019-01-23 |
| 1841767712 | Jordon Alexander Wurst-smith | Student in an Organized Health Care Education/Training Program | 44 Indiana Ave Nw, Grand Rapids, MI 49504-6369 | 2018-10-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. DANIA MALLICK.
| 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.