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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MUSTAPHA MOHAMED MALLAH, M.D.

Active

DR. MUSTAPHA MOHAMED MALLAH, M.D. is a Rheumatology healthcare provider located in WYANDOTTE, Michigan. NPI 1104879683 is currently active in the NPPES registry. Verify at CMS.

Rheumatology · WYANDOTTE, MI

Registration Details

NPI Number
1104879683
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2006 (20.285090385103 yrs)
Last Updated
Oct 26, 2023
License
MI-4301081080 (MI)

Practice Information

Address
1623 FORD AVE
WYANDOTTE, MI, 481922303
Browse MI providers · Browse ZIP 48192
Phone
7343897167
Fax
7342827390
Primary Specialty
Rheumatology
207RR0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.