Mullick Dermatology, PLLC
NPI 1154862217ActiveOrganization· Dermatology· Germantown, TN
Dermatology in Germantown, Tennessee, registered in NPPES in March 2017. The authorized official on file is Suparna Mullick, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154862217 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2017 |
| Last updated in NPPES | Jul 27, 2022 |
| Certified by provider | Jul 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD49897 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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