Whalio Doctors

NPI 1508087826

Ali Farouk Mallat, MD

Practitioner Surgery Physician Independence, OH

Practice location

Address
6000 W Creek Rd Suite 10, Independence, OH 44131-2182
Phone
(216) 986-1256

Registered specialties (5)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 129879 (OH)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301089640 (MI)
Surgical Critical Care Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence 4301089640 (MI)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 4301089640 (MI)
Surgical Critical Care Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence 129879 (OH)

Registry record

NPI
1508087826
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 May 2007
Record last updated
25 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.