Dr. Mallika Govindan, MD
Family Medicine in Long Island City, New York
1124647540- Practice location
- 36-11 21ST Street, Long Island City, NY 11106-4505
- Phone
- 718-482-7772
- Fax
- 718-482-9648
- Last updated
- February 5, 2026
Mallika Govindan is a Family Medicine based in Long Island City, NY. Mallika Govindan practices in Long Island City, NY and has the professional credentials of MD. The NPI Number for Mallika Govindan is 1124647540 and holds a License No. 324315-01 (NY). The current practice location address for Mallika Govindan is 36-11 21ST Street, Long Island City, NY 11106-4505 and can be reached out via phone at 718-482-7772 and via fax at 718-482-9648.
Provider Profile Details
- NPI Number
- 1124647540
- Provider Name
- Mallika Govindan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 36-11 21ST Street, Long Island City, NY 11106-4505
- Phone Number
- 718-482-7772
- Fax Number
- 718-482-9648
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 15, 2020
- Last Update Date
- February 5, 2026
- Certification Date
- February 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36-11 21ST Street
Long Island City, NY 11106-4505 - City
- Long Island City
- State
- New York
- Zip
- 11106-4505
- Phone Number
- 718-482-7772
- Fax Number
- 718-482-9648
Provider Business Mailing Address Details
- Address
- 44 W 28TH St Fl 5
New York, NY 10001-4212 - City
- New York
- State
- NY
- Zip
- 10001-4212
- Phone Number
- 212-545-2409
- Fax Number
- 212-463-8411
License Information
- License Number
- 324315-01
- License State
- NY
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mallika Govindan, MD?
The NPI number of Dr. Mallika Govindan, MD is 1124647540. It was assigned on April 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Mallika Govindan, MD?
Dr. Mallika Govindan, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 324315-01.
Where does Dr. Mallika Govindan, MD practice?
The practice location is 36-11 21ST Street, Long Island City, NY 11106-4505. The office can be reached at 718-482-7772 (phone) or 718-482-9648 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124647540 directly on the NPPES registry website.