Husam Srour Mallah
MD | Pediatric Gastroenterology | Male
Husam Srour Mallah, MD is a Glendale, Arizona based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Husam Srour Mallah is
5757 W Thunderbird Rd Ste W310, Glendale, Arizona - 85306-4644. He can be contacted on phone at
602-865-4011 and fax number 602-865-4250.
Husam Srour Mallah is a sole proprietor of his business.
NPI number (Unique professional ID) for Husam Srour Mallah is
1912048703 which was assigned by NPPES on 12 Feb, 2007 and it was last updated on 29 Sep, 2015.
Husam Srour Mallah license number is
01067525A for Pediatrics Pediatric Gastroenterology (2080P0206X) in Indiana.
Husam Srour Mallah specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Husam Srour Mallah basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Husam Srour Mallah |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Husam Srour Mallah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5757 W Thunderbird Rd Ste W310
Glendale, AZ, 85306-4644
United States |
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| Phone Number : | 602-865-4011 |
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| Fax Number : | 602-865-4250 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1912048703 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Feb, 2007 |
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| Last Updated On : | 29 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Husam Srour Mallah are as mentioned. Primary taxonomy code for Husam Srour Mallah, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 01067525A | IN |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 01067525A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Husam Srour Mallah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000664359 | Other | IN | ANTHEM |
| 200987180 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5757 W Thunderbird Rd Ste W310
Glendale, AZ, 85306-4644
United States |
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| Phone Number : | 602-865-4011 |
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| Fax Number : | 602-865-4250 |
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Business Location:
Patients can refer following map for directions to
Husam Srour Mallah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.