Dr. Talal Imad Mousallem
M.D. | Pediatric Allergy-Immunology | Male
Dr. Talal Imad Mousallem, M.D. is a Winston Salem, North Carolina based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Talal Imad Mousallem is
Medical Center Blvd, Winston Salem, North Carolina - 27157-0001. He can be contacted on phone at
336-716-2255.
Dr. Talal Imad Mousallem is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Talal Imad Mousallem is
1487812749 which was assigned by NPPES on 22 May, 2008 and it was last updated on 18 Dec, 2014.
Dr. Talal Imad Mousallem license number is
2010-01468 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in North Carolina.
Dr. Talal Imad Mousallem specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Talal Imad Mousallem basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Talal Imad Mousallem |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Talal Imad Mousallem 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 : | Medical Center Blvd
Winston Salem, NC, 27157-0001
United States |
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| Phone Number : | 336-716-2255 |
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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 : | 1487812749 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2008 |
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| Last Updated On : | 18 Dec, 2014 |
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Medicare Participation:
Dr. Talal Imad Mousallem participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7517197379 |
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| Medicare Enrollment ID : | I20140224001149 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2003 |
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| Accepts Medicare? | Yes. Dr. Talal Imad Mousallem accepts medicare insurance. |
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Group Practice Association:
Dr. Talal Imad Mousallem is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Talal Imad Mousallem is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 300 Meadowmont Village Cir
Suite 311
Chapel Hill, NC - 275177518
Ph: 9199678052 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | Harris Smith Ob/gyn
3000 Meadowmont Village Circle Suite 311
Chapel Hill, NC - 275177518
Ph: 9199678052 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 4709 Creekstone Dr
Durham, NC - 277030016 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2100 Erwin Rd
Durham, NC - 277053941
Ph: 9196848111 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2301 Erwin Rd
Durham, NC - 277054699
Ph: 9196819660 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2351 Erwin Rd
Durham, NC - 277054699
Ph: 9196848111 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2351 Erwin Rd
Duke Eye Center
Durham, NC - 277054699
Ph: 9196848111 | Yes |
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 Dr. Talal Imad Mousallem are as mentioned. Primary taxonomy code for Dr. Talal Imad Mousallem, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207K00000X | Allergy & Immunology | No | 2010-01468 | NC |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 2010-01468 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Talal Imad Mousallem such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1487812749 | Other | VA | VIRGINIA MEDICAID |
| Q0146O | Other | SC | SC MEDICAID |
| 276230 | Other | NC | MEDCOST |
| 1487812749 | MEDICAID | NC | |
| 1487812749 | Other | NC | TRICARE |
| 1846B | Other | NC | BCBS |
| 3846320 | Other | NC | UHC |
| 4762627 | Other | NC | AETNA |
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 : | Medical Center Blvd
Winston Salem, NC, 27157-0001
United States |
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| Phone Number : | 336-716-2255 |
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Business Location:
Patients can refer following map for directions to
Dr. Talal Imad Mousallem practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.