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

Shahla Sohaib Mallick

Individual provider Family Medicine Physician · NPI 1861506818

Shahla Sohaib Mallick is a Family Practice in Brooklyn, New York. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

517 54th St
Brooklyn, NY 11220-3114
Phone: (718) 833-7860
Fax: (718) 833-7861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 217612 (NY)

Record details

NPI number1861506818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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