Individual provider · Type 1 NPI
Houssam M. Fadlallah, PA-C
Medical Physician Assistant · Dearborn, MI
NPI number
1215922109
Active
Practice location
19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193
Fax (313) 347-9026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003142 (MI) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
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About NPI 1215922109
Houssam M. Fadlallah, PA-C's National Provider Identifier is 1215922109, issued on Sep 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dearborn, MI. The record was last updated on Oct 5, 2026.