Individual
DR. MAI KAMAL EL MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHC ERWIN ROAD DUKE UNIVERSITY MEDICAL CENTER, DURHAM, NC 27710
(919) 684-8657
(919) 684-2292
Mailing address
CHILDREN'S HEALTH CENTER, DURHAM, NC 27710-0001
(919) 684-3960
(919) 684-2292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
258806
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
225653
NC
2080P0214X
Pediatric Pulmonology Physician
258806
MA
2080P0214X
Pediatric Pulmonology Physician
ME114366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007206400
—
FL
05
—
110100625A
—
MA
05
—
177152901
—
TX
01
—
S400170191
MEDICARE
MA
Enumeration date
08/21/2006
Last updated
07/26/2018
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