| P.k. Mullick, Md & Associates Pc | |
|
4608 Penn Ave Pittsburgh PA 15224-1309 | |
| (412) 621-4757 | |
| (412) 621-9784 |
| Full Name | P.k. Mullick, Md & Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4608 Penn Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Prabir Kumar Mullick (PRESIDENT) |
| Authorized Official Contact | 4126214757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P.k. Mullick, Md & Associates Pc 4608 Penn Ave Pittsburgh PA 15224-1309 Ph: (412) 621-4757 | P.k. Mullick, Md & Associates Pc 4608 Penn Ave Pittsburgh PA 15224-1309 Ph: (412) 621-4757 |
| NPI Number | 1699704890 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 07/15/2008 |
| Medicare PECOS PAC ID | 4789622440 |
|---|---|
| Medicare Enrollment ID | O20050422000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699704890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD030769E (Pennsylvania) | Primary |
| Provider Name | Prabir K Mullick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285603126 PECOS PAC ID: 1254238595 Enrollment ID: I20031216000214 |
| Provider Name | Manohar Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750350435 PECOS PAC ID: 5395835300 Enrollment ID: I20071214000037 |
| Provider Name | William A Sorrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902995293 PECOS PAC ID: 4082937743 Enrollment ID: I20150105000538 |
| Provider Name | Britney B Kepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685110 PECOS PAC ID: 2769771054 Enrollment ID: I20160510000053 |
| Provider Name | Heeyoung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235670399 PECOS PAC ID: 5698043222 Enrollment ID: I20170622001204 |
| Provider Name | Joshua Edward Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020834 PECOS PAC ID: 8224453063 Enrollment ID: I20200811000004 |
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