Subodh K Mallik, MD is a medicare enrolled "Internal Medicine" physician in Fort Stockton, Texas. His current practice location is
387 W Ih 10, Fort Stockton, Texas. You can reach out to his office (for appointments etc.) via phone at
(432) 336-0700.
Subodh K Mallik is licensed to practice in Texas (license number K4945) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689628885.
Physician's Profile
Full Name | Subodh K Mallik |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 387 W Ih 10, Fort Stockton, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Subodh K Mallik attended and graduated from in
NPI Data:
- NPI Number: 1689628885
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 10/09/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Subodh K Mallik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689628885 | NPI | - | NPPES |
111902608 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | K4945 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Subodh K Mallik is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Subodh K Mallik, MD 387 W Ih 10, Fort Stockton, TX 79735-2700 Ph: (432) 336-0700 | Subodh K Mallik, MD 387 W Ih 10, Fort Stockton, TX 79735-2700 Ph: (432) 336-0700 |
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