Individual provider · Type 1 NPI

Randa Diana Elmallah, MD

Orthopaedic Surgery Physician · Boston, MA

NPI number 1376905455 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

881 E Emerald Ter
Nixa, MO 65714-9457

Other practice locations

  • 603 7th St S Ste 100, St. Petersburg, FL 33701-4719 · (727) 553-7431
  • 2500 N State St, Jackson, MS 39216-4500 · (601) 984-6525

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XME168335 (FL)
Orthopaedic Surgery Physician 207X00000X286499 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthopaedic Surgery Physician Primary 207X00000X2022029948 (MO)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1376905455

Randa Diana Elmallah, MD's National Provider Identifier is 1376905455, issued on Mar 28, 2016. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Boston, MA. The record was last updated on Oct 3, 2024.