Jayati Mallick, MD | |
301 University Blvd, Galveston, TX 77555-0001 | |
(409) 772-2222 | |
Not Available |
Full Name | Jayati Mallick |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 23 Years |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215355474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | S5008 (Texas) | Secondary |
207ZH0000X | Pathology - Hematology | S5008 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Medical Branch Faculty Group Practice | 3375456734 | 883 |
Jefferson University Physicians | 7911819180 | 1273 |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Jayati Mallick, MD Po Box 650859 Dept 710, Dallas, TX 75265-6234 Ph: (409) 772-0620 | Jayati Mallick, MD 301 University Blvd, Galveston, TX 77555-0001 Ph: (409) 772-2222 |
Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mariangela Gomez Ferrer, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683 | |
Mukhayyo Ismailova, Pathology Medicare: Not Enrolled in Medicare Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878 | |
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856 | |
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Yadira Elizabeth Chavez, Pathology Medicare: Not Enrolled in Medicare Practice Location: 712 Texas Ave, Galveston, TX 77555 Phone: 409-772-1011 | |
Paul J Boor, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |