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

Suparna Mullick, MD

Individual provider Pediatrics Physician · NPI 1366547713

Suparna Mullick, MD is a Dermatology in Germantown, Tennessee. Qualified in 2002, 24 years ago. Practices with Mullick Dermatology PLLC, a 2-clinician group and works from 2 locations. Licensed in Missouri and Tennessee.

Years since qualifying
24
Licensed in
MO, TN
In the registry since
2006
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

3036 Centre Oak Way
Germantown, TN 38138-6302
Phone: (901) 572-0005
Fax: (901) 572-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9760 Lipsey Cv, Germantown, TN 38139-8076 — (901) 277-3534

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 49897 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 2006013531 (MO)

Record details

NPI number1366547713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing addressPo Box 758, Paris, TN 38242-0758

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mullick Dermatology Pllc — 2 clinicians
Accepts Medicare assignment Not indicated

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