ATRAYEE BASU MALLICK (NPI# 1770802795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770802795 |
| Entity Type | Individual |
| Full Name | ATRAYEE BASU MALLICK |
| Credential | M.D |
| Practice Address |
1015 Chestnut St Suite 1321 Philadelphia PA 19107-4316 |
| Mailing Address |
615 Chestnut St 14th Floor Philadelphia PA 19106-4404 |
| Practice Telephone | 2159235676 |
| Practice Fax Number | 2159237390 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD440064 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102474760 | 05 | |
| NJ | 0233242 | 05 |
| Street Address |
1015 CHESTNUT ST SUITE 1321 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255831 | Jocelyn J Sivalingam | Internal Medicine | 1015 Chestnut St, Ste 1518, Philadelphia, PA 19107-4315 | 2005-06-14 |
| 1972060952 | Center City Hearing | Audiologist | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2019-02-26 |
| 1063977973 | Karen Loos | Nurse Practitioner | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2019-02-05 |
| 1649717893 | Stefanie Lauko | Nurse Practitioner | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2017-01-26 |
| 1104283555 | Today's Woman Global Health LLC | Obstetrics & Gynecology | 1015 Chestnut St, Suite 1506, Philadelphia, PA 19107-4316 | 2016-01-15 |
| 1649643545 | Franklin Eye Care PC | Optometrist | 1015 Chestnut St, #417, Philadelphia, PA 19107-4316 | 2015-11-02 |
| 1659759678 | Stephen Peter Gadomski II | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-05-11 |
| 1649667700 | Courtney Lee Devin | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-16 |
| 1710374848 | Ellen Caparosa | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-15 |
| 1275929309 | Geoffrey Kozak | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1215240932 | Hayley Michelle Knollman | Internal Medicine | 3400 Civic Center Blvd Fl 10, Philadelphia, PA 19104-5158 | 2010-07-22 |
| 1134455207 | Justine V. Cohen | Internal Medicine | 230 W Washington Sq Fl 2, Philadelphia, PA 19106-3500 | 2009-10-26 |
| 1528393899 | Madiha Atif Gilani | Internal Medicine | 834 Chestnut St., Suit 320, Ben Franklin House, Philadelphia, PA 19107 | 2009-10-05 |
| 1609057660 | Temple Physicians Inc. | Internal Medicine | 7500 Central Ave Ste 110, Philadelphia, PA 19111-2430 | 2007-11-19 |
| 1366500613 | Curtis A Alloy Do PC | Internal Medicine | 2221 S Broad St, Philadelphia, PA 19148 | 2006-12-05 |
| 1326159021 | Rodwige J Desnoyers | Internal Medicine | 925 Chestunut Street, Suite 320a, Philadelphia, PA 19107 | 2006-08-31 |
| 1770514499 | Donna J Glover | Internal Medicine | Two Franklin Town Blvd, Suite #100, Philadelphia, PA 19103 | 2006-07-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on ATRAYEE BASU MALLICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.