Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mallika Tatikola, MD

Individual provider Family Medicine Physician · NPI 1649847500

Dr. Mallika Tatikola, MD is a Family Practice in Jamaica, New York. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2021, 5 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
5
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NY
In the registry since
2021
Specialties on file
2
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

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone: (718) 206-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 919 3rd Ave Ste 105, New York, NY 10022-3902 — (888) 663-6331

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 339533 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649847500
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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