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Contact Information

SAMIR MALLAT
88 OSBORNE ST
JOHNSTOWN, PA15905-4146
 Phone: 814-619-3373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMIR MALLAT · (Male)

NPI Number 1487113627
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2019
Last updated 03/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD456497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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