Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Deobrat Chandra Mallick, MD

Individual provider Internal Medicine Physician · NPI 1740535004

Dr. Deobrat Chandra Mallick, MD is an Internal Medicine in Scranton, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Gulf Coast Physician Services, PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 Tall Trees Dr
Scranton, PA 18505-2239
Phone: (570) 687-7332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT200781 (PA)

Record details

NPI number1740535004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESJuly 23, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Gulf Coast Physician Services, Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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