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General NPI Number Information
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NPI Number | 1811686199
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Entity Type | Individual
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Provider Name | HAMDAN KHALID MALLICK
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Gender | Male
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 640 S. STATE STREET MAILCODE: 3007
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City | DOVER
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State | DE
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Zip | 19901
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Country | US
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Telephone | 302-744-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 640 S. STATE STREET MAILCODE: 3007
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City | DOVER
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State | DE
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Zip | 19901
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Country | US
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Telephone | 302-744-6999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C7-0018290
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License Number State | DE
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