Healthcare Provider Details

I. General information

NPI: 1740128040
Provider Name (Legal Business Name): GALON SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 PARK PL STE 203
NEWARK NJ
07102-5504
US

IV. Provider business mailing address

60 PARK PL STE 203
NEWARK NJ
07102-5504
US

V. Phone/Fax

Practice location:
  • Phone: 315-961-6040
  • Fax:
Mailing address:
  • Phone: 315-961-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JAGADISH THIMIRI MALLIKARJAN
Title or Position: PRESIDENT
Credential:
Phone: 315-961-6040