Organization
J. JIN EL-MALLAWANY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG JIN EL-MALLAWANY (MD)
(440) 349-2999
Entity
Organization
Contact information
Practice address
34501 AURORA RD, STE 101, SOLON, OH 44139-3873
(440) 349-2999
Mailing address
34501 AURORA RD, STE 101, SOLON, OH 44139-3873
(440) 349-2999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.041711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230441
ANTHEM BLUE CROSS
—
05
—
0600040
—
OH
Enumeration date
08/16/2007
Last updated
08/16/2007
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