Provider Demographics
NPI:1396536330
Name:MALLICK, ANIK ANAKIN KUMAR (MBCHB)
Entity type:Individual
Prefix:DR
First Name:ANIK
Middle Name:ANAKIN KUMAR
Last Name:MALLICK
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 RICHMOND PARK ROAD
Mailing Address - Street 2:HANDSWORTH
Mailing Address - City:SHEFFIELD
Mailing Address - State:SOUTH YORKSHIRE
Mailing Address - Zip Code:S13 8HN
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:ECMC FAMILY HEALTH CENTER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-831-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program