Husam Srour Mallah in Glendale - Pediatrics
Husam Srour Mallah - NPI 1912048703
Husam Srour Mallah is a Pediatrics in Glendale, Arizona. Husam Srour Mallah practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Husam Srour Mallah is 1912048703. The last update date is 2015-09-29.
Husam Srour Mallah's current location address is 5757 W Thunderbird Rd Ste W310, Glendale, Arizona. You can contact this provider via phone number 6028654011 and fax number 6028654250. The mailing address for Husam Srour Mallah is 5757 W Thunderbird Rd Ste W310, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Husam Srour Mallah |
|---|---|
| Address | 5757 W Thunderbird Rd Ste W310, Glendale, Arizona |
| Phone Number | 6028654011 |
| Fax Number | 6028654250 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912048703 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2015-09-29 |
Provider Mailing Address Detail
| Address | 5757 W Thunderbird Rd Ste W310 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853064644 |
| Phone Number | 6028654011 |
| Fax Number | 6028654250 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 01067525A |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 664359 | IN | ANTHEM | |
| 200987180 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Husam Srour Mallah by the Centers for Medicare & Medicaid Services?
The Husam Srour Mallah has been issued the NPI (National Provider Identifier) 1912048703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Husam Srour Mallah is physically located?
The Husam Srour Mallah is situated at the following address: 5757 W Thunderbird Rd Ste W310, Glendale, AZ 853064644.
What is Husam Srour Mallah's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Husam Srour Mallah's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When did Husam Srour Mallah receive its 1912048703 assignment?
The Husam Srour Mallah was assigned its 1912048703 on 2007-02-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Husam Srour Mallah most recently updated?
The details pertaining to the Husam Srour Mallah, including its address, specialty, and other relevant information, were last refreshed on 2015-09-29.
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