Organization
SAFOUH MALHIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFOUH MALHIS (CEO)
(760) 659-0098
Entity
Organization
Contact information
Practice address
100 SUSAN DR, JOHNSTOWN, PA 15905-2826
(814) 255-1963
Mailing address
PO BOX 5005, PMB 45, RANCHO SANTA FE, CA 92067
(760) 659-0098
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD-062912-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082836
MEDICARE GROUP
—
01
—
999440
GROUP HIGHMARK
PA
Enumeration date
08/27/2006
Last updated
06/13/2014
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