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NPI Code Detail

MEDICARE: MALLARD MEDICAL SERVICES INC

MEDICARE: MALLARD MEDICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
251D0235339OTHERWVCLIA

General Provider Information

NPI Number : 1548466295
Entity Type Code : Organization
Provider Name (Legal Business Name) : MALLARD MEDICAL SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 12
Second Line :
City : STANAFORD
State : WV
Zip : 25927-0012
Country : US
Telephone Number : 304-255-6651
Fax Number :
Provider Business Practice Location Address
First Line : 20 MALLARD CT
Second Line :
City : BECKLEY
State : WV
Zip : 25801-3615
Country : US
Telephone Number : 304-255-6651
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SYED RASHEED
Credential : MD
Telephone Number : 304-255-6651
Provider Enumeration Date : 06/21/2007
Last Update Date : 11/02/2010

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Directions to “MALLARD MEDICAL SERVICES INC ” Practice Location

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