Talal Imad Mousallem in Winston Salem - Pediatric Allergy/immunology

Talal Imad Mousallem - NPI 1487812749

Talal Imad Mousallem is a Pediatric Allergy/immunology in Winston Salem, North Carolina. Talal Imad Mousallem practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Talal Imad Mousallem is 1487812749. The last update date is 2014-12-18.

Talal Imad Mousallem's current location address is Medical Center Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255. The mailing address for Talal Imad Mousallem is Medical Center Blvd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Talal Imad Mousallem
Address Medical Center Blvd, Winston Salem, North Carolina
Phone Number 3367162255
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487812749
Provider Enumeration Date 2008-05-22
Last Updated Date 2014-12-18

Provider Mailing Address Detail

Address Medical Center Blvd
City Winston Salem
State North Carolina (NC)
Post Code 271570001
Phone Number 3367162255
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Allergy/immunology
Taxonomy 2080P0201X
Licence No 2010-01468
Definition:
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1487812749 NC --
1846B NC BCBS
276230 NC MEDCOST
3846320 NC UHC
1487812749 NC TRICARE
1487812749 VA VIRGINIA MEDICAID
4762627 NC AETNA
Q0146O SC SC MEDICAID

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FAQs about Talal Imad Mousallem

What is the unique identification code assigned to Talal Imad Mousallem by the Centers for Medicare & Medicaid Services?

The Talal Imad Mousallem has been issued the NPI (National Provider Identifier) 1487812749. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Talal Imad Mousallem's facilities are situated?

The facilities of Talal Imad Mousallem are physically located at the following address: Medical Center Blvd, Winston Salem, NC, 271570001.

What is the area of specialization for Talal Imad Mousallem, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Talal Imad Mousallem is Pediatric Allergy/immunology, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0201X.

On what date did the Talal Imad Mousallem receive its 1487812749 assignment from the Centers for Medicare & Medicaid Services?

The Talal Imad Mousallem was assigned its 1487812749 by the Centers for Medicare & Medicaid Services on 2008-05-22.

As of what date were the details related to Talal Imad Mousallem most recently updated or revised?

The information pertaining to Talal Imad Mousallem, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-18.

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