Provider Demographics
NPI:1033550421
Name:MULLICK, SAHIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHIL
Middle Name:
Last Name:MULLICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7500 MERCY RD
Mailing Address - Street 2:CU DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2319
Mailing Address - Country:US
Mailing Address - Phone:855-524-4001
Mailing Address - Fax:402-449-4740
Practice Address - Street 1:7500 MERCY RD
Practice Address - Street 2:CU DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2319
Practice Address - Country:US
Practice Address - Phone:855-524-4001
Practice Address - Fax:402-449-4740
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE29422207Q00000X, 208M00000X
IAMD-43770207Q00000X, 208M00000X
NE7117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine