Individual
RADWAN MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 543-5200
Mailing address
PO BOX 11047, DAYTONA BEACH, FL 32120-1047
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18098
AL
207R00000X
Internal Medicine Physician
Primary
036.168338
IL
207R00000X
Internal Medicine Physician
18098
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911272
—
AL
05
—
051555451
—
AL
01
—
18098
WORKER'S COMP
AL
01
—
51542980
BC BS
AL
01
—
51555451
BLUE SHIELD
AL
Enumeration date
05/17/2006
Last updated
04/14/2026
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