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Husam Srour Mallah, MD
Pediatric Gastroenterology Physician in Glendale, Arizona
NPI 1912048703

Husam Srour Mallah is a Pediatric Gastroenterology Physician based in Glendale, AZ and is specialized in Pediatric Gastroenterology. Husam Srour Mallah practices in Glendale, AZ and has the professional credentials of MD. The NPI Number for Husam Srour Mallah is 1912048703 and holds a License No. 01067525A (Arizona).

The current practice location address for Husam Srour Mallah is 5757 W Thunderbird Rd Ste W310, Glendale, AZ and can be reached out via phone at 602-865-4011 and via fax at 602-865-4250. You can also correspond with Husam Srour Mallah through the mailing address at 5757 W THUNDERBIRD RD STE W310, GLENDALE, AZ - 85306-4644 (mailing address contact number: 602-865-4011).

Location: 5757 W Thunderbird Rd Ste W310, Glendale, AZ, 85306-4644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912048703
Provider Name
Husam Srour Mallah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5757 W Thunderbird Rd Ste W310, Glendale, AZ, 85306-4644
Phone Number
602-865-4011
Fax Number
602-865-4250
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000664359 01 IN ANTHEM
200987180 05 IN
institution
Provider Business Practice Location Address Details
Address
5757 W Thunderbird Rd Ste W310
City
Glendale
State
Arizona
Zip
85306-4644
Phone Number
602-865-4011
Fax Number
602-865-4250
person
Provider Business Mailing Address Details
Address
5757 W Thunderbird Rd Ste W310
City
Glendale
State
Arizona
Zip
85306-4644
Phone Number
602-865-4011
Fax Number
602-865-4250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
01067525A (Indiana)
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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
01067525A (Indiana)
Definition
A pediatrician who 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.
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