Individual
DR. HANEEN M. A. MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0002
(352) 273-8737
(806) 743-3143
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME166013
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2018
Last updated
02/26/2025
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