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Individual
MOHANNED MALLAH
Active
Individual
MOHANNED MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218355
NC
2086S0102X
Surgical Critical Care Physician
Primary
88198
SC
Other
Enumeration date
03/31/2016
Last updated
09/15/2023
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