Individual
DR. HUSAM SROUR MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5310 W THUNDERBIRD RD STE W311, GLENDALE, AZ 85306-4706
(602) 865-4230
(602) 865-4250
Mailing address
5310 W THUNDERBIRD RD STE W311, GLENDALE, AZ 85306-4706
(602) 865-4230
(602) 865-4250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50552
AZ
2080P0206X
Pediatric Gastroenterology Physician
Primary
50552
AZ
Other
Enumeration date
02/12/2007
Last updated
01/01/2026
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