Imtiaz A. Mallick Physician P.C
NPI 1083946792ActiveOrganization· Internal Medicine· Fishkill, NY
Internal Medicine in Fishkill, New York, registered in NPPES in February 2010. The authorized official on file is Imtiaz A. Mallick, M.D., President & Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083946792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2010 |
| Last updated in NPPES | Mar 5, 2022 |
| Certified by provider | Mar 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 196451 | NY |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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