Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | M7395 | TX |
Y | 207RX0202X | Medical Oncology | M7395 | TX |
NPI | 1215146386 |
---|---|
Provider Name | Alka Mallik |
First Address | Austin, TX 78758 |
Second Address | Austin, TX 78705-3378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 27/04/2021 |