Individual
MOIN U MALLHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 FREAS AVE, BERWICK, PA 18603-1612
(570) 752-6441
(570) 752-6442
Mailing address
1200 FREAS AVE, BERWICK, PA 18603-1612
(570) 752-6441
(570) 752-6442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD055799L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD055799L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019733140008
—
PA
Enumeration date
05/08/2007
Last updated
03/12/2025
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