| Arup Mallik, PA-C | |
|
2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081 | |
| (833) 853-1392 | |
| Not Available |
| Full Name | Arup Mallik |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2480 Llewellyn Ave, Fort George G Meade, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669140257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| Entity Name | Associates in Family Practice PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376736603 PECOS PAC ID: 2769375005 Enrollment ID: O20040202001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Arup Mallik, PA-C 2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081 Ph: Not Available | Arup Mallik, PA-C 2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081 Ph: (833) 853-1392 |
Ms. Lauren Michele Abbott, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 410-436-3001 |
Mr. Randolph S Harrison, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8798 |
Philip Daniel Canafax, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8800 |
Aaron Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8800 |
Shane Mitchell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Usameddac, 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 410-278-5475 |
Ms. Heather L Offutt, PA - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-619-4654 |
Andrew Tallman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 036-963-9427 |