Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HUSAM SROUR MALLAH, MD
ActiveDR. HUSAM SROUR MALLAH, MD is a Pediatric Gastroenterology healthcare provider located in GLENDALE, Arizona. NPI 1912048703 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · GLENDALE, AZ
Registration Details
- NPI Number
- 1912048703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.526935371548 yrs)
- Last Updated
- Jan 1, 2026
- Licenses
-
50552 (AZ)50552 (AZ)
Practice Information
- Address
-
5310 W THUNDERBIRD RD STE W311GLENDALE, AZ, 853064706Browse AZ providers · Browse ZIP 85306
- Phone
- 6028654230
- Fax
- 6028654250
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatrics
Other Pediatric Gastroenterology Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SANJEEV KHURANA | MD | 1386606200 |
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.