Radwan Mallah in Daytona Beach - Emergency Medicine
Radwan Mallah - NPI 1376596015
Radwan Mallah is a Emergency Medicine in Daytona Beach, Florida. Radwan Mallah practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Radwan Mallah is 1376596015. The last update date is 2019-12-09.
Radwan Mallah's current location address is Po Box 11047, Daytona Beach, Florida. You can contact this provider via phone number 3862747800 and fax number 3862747801. The mailing address for Radwan Mallah is Po Box 11047, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Radwan Mallah |
|---|---|
| Address | Po Box 11047, Daytona Beach, Florida |
| Phone Number | 3862747800 |
| Fax Number | 3862747801 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376596015 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | Po Box 11047 |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321201047 |
| Phone Number | 3862747800 |
| Fax Number | 3862747801 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 18098 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18098 | AL | WORKER'S COMP | |
| 51555451 | AL | BLUE SHIELD | |
| 51555451 | AL | -- | |
| 9911272 | AL | -- | |
| 51542980 | AL | BC BS |
Post Comment/ Review Below
What is the unique identification code assigned to Radwan Mallah by the Centers for Medicare & Medicaid Services?
The Radwan Mallah has been issued the NPI (National Provider Identifier) 1376596015. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Radwan Mallah is located?
The Radwan Mallah is situated at the following address: Po Box 11047, Daytona Beach, FL, 321201047.
What is Radwan Mallah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Radwan Mallah is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.
When was the Radwan Mallah's 1376596015 issued?
The Radwan Mallah's 1376596015 was issued on 2006-05-17.
As of what date were the details related to Radwan Mallah most recently updated or revised?
The information pertaining to Radwan Mallah, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-09.