Individual provider · Type 1 NPI

Ali Farouk Mallat, MD

Surgery Physician · Independence, OH

NPI number 1508087826 Active

Practice location

6000 W Creek Rd, Suite 10
Independence, OH 44131-2182

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X4301089640 (MI)
Surgical Critical Care Physician 2086S0102X4301089640 (MI)
Student in an Organized Health Care Education/Training Program 390200000X4301089640 (MI)
Surgery Physician Primary 208600000X129879 (OH)
Surgical Critical Care Physician 2086S0102X129879 (OH)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1508087826

Ali Farouk Mallat, MD's National Provider Identifier is 1508087826, issued on May 2, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Independence, OH. The record was last updated on Mar 25, 2017.