Mustapha M Mallah (NPI# 1104879683, PAC ID# 1850285875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1104879683 |
| PAC ID by PECOS | 1850285875 |
| Professional Enrollment ID | I20040211000323 |
| Full Name | Mustapha M Mallah |
| Address |
1307 Ford Ave Wyandotte MI 48192-3823 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| 230146 | HENRY FORD WYANDOTTE HOSPITAL |
| 230151 | BEAUMONT HOSPITAL - FARMINGTON HILLS |
| Address | Phone | Organization |
|---|---|---|
| 1213 Mason St, Dearborn, MI 48124-2841 | 3132782800 | EXECUTIVE HEALTH PC |
| 1213 Mason St, Dearborn, MI 48124-2841 | WASSIM YOUNES MD PLC | |
| 4700 Greenfield Rd, Dearborn, MI 48126-4124 | 3139456100 | ASSOCIATED PHYSICIANS OF DEARBORN PLLC |
| 1307 Ford Ave, Wyandotte, MI 48192-3823 |
| Street Address |
1307 FORD AVE |
| City | WYANDOTTE |
| State | MI |
| Zip | 48192-3823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaher W Khan | Plastic and Reconstructive Surgery | 1307 Ford Ave, Wyandotte, MI 48192-3823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacinto O Kadour Rodriguez | Internal Medicine | Ravinder Gandhi Md PC | 2025 Ford Ave, Suite 100, Wyandotte, MI 48192-2301 |
| Girish Mangalick | Neurology | 1623 Ford Ave, Wyandotte, MI 48192-2303 | |
| Malini Venkatram | Rheumatology | 1623 Ford Ave, Wyandotte, MI 48192-2303 | |
| Nsima M Usen | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Mohammad F Khalil | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Audey Nasser | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Alexandria M Marshall | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Brian Mcmanus | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Ernest E Sorenson | Podiatry | Khalil and Usen Dpm, PC | 1628 Ford Ave, Wyandotte, MI 48192-2304 |
| Ibrahim H Dabaja | Physician Assistant | Wyandotte Urgent Care Clinic | 1768 Ford Ave, Wyandotte, MI 48192-2306 |
| Find all physicians in zip 48192 | |||
| City | WYANDOTTE |
| Zip Code | 48192 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | WYANDOTTE + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Mustapha M Mallah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.