| Gunwant S Mallik, MD | |
|
25 Hidden Ravines Dr, Powell, OH 43065-9883 | |
| (614) 942-0132 | |
| (614) 942-0139 |
| Full Name | Gunwant S Mallik |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 39 Years |
| Location | 25 Hidden Ravines Dr, Powell, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376527663 | NPI | - | NPPES |
| 208005968 | Other | OH | AETNA |
| 000000518235 | Other | OH | BLUE CROSS/BLUE SHIELD |
| 208005968 | Other | OH | TRICARE NORTH REGION |
| 208005968026 | Other | OH | CARESOURCE |
| 208005968 | Other | OH | UNITED HEALTHCARE |
| 0225723 | Medicaid | OH | |
| 208005968 | Other | OH | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35070094 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hospital | Zanesville, OH | Hospital |
| Mount Carmel East & West | Columbus, OH | Hospital |
| Mount Carmel St Ann's | Westerville, OH | Hospital |
| Grant Medical Center | Columbus, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Nerves, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649486879 PECOS PAC ID: 4587762018 Enrollment ID: O20070607000278 |
| Entity Name | Genesis Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Gunwant S Mallik, MD 10169 Wellington Blvd, Powell, OH 43065-7671 Ph: (614) 942-0132 | Gunwant S Mallik, MD 25 Hidden Ravines Dr, Powell, OH 43065-9883 Ph: (614) 942-0132 |