Saadul Akbar Mallam, MD
Internal Medicine in Newark, NJ. Individual provider (NPI-1).
NPI number1164058103
StatusActive
Last updated in NPPESJan 14, 2023
Details
- NPI
- 1164058103
- Entity type
- Individual (NPI-1)
- Name
- Saadul Akbar Mallam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2020
- Certification date
- Jan 14, 2023
- Last updated
- Jan 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA11728300 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NJ |
Other names
- Saadu Alhassan (Former Name)
Practice location
201 Lyons AveNewark, NJ 07112-2027
Phone 917-926-7000
Mailing address
201 Lyons AveNewark, NJ 07112-2027
Phone 917-926-7000
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