Mallat, Ali Farouk

Mallat, Ali Farouk is an individual health care provider with primary practice located at 6000 W Creek Rd Suite 10, Independence OH 44131-2182. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mallat, Ali Farouk can be contacted via phone (216) 986-1256.

Contact Information

Primary practice address
6000 W Creek Rd Suite 10 Independence OH 44131-2182
Phone: (216) 986-1256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301089640 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301089640 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301089640 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 129879 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 129879 Ohio

Profile Details

NPI number 1508087826
LBN Legal business name Mallat, Ali Farouk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 25th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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