Healthcare Provider Details

I. General information

NPI: 1083706279
Provider Name (Legal Business Name): THAER ALMALOUF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W NEWTON ST
GREENSBURG PA
15601-2861
US

IV. Provider business mailing address

555 WEST NEWTON ST SUITE 10 PEDIATRIC ASSOCIATES OF WESTMORELAND
GREENSBURG PA
15601
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-7045
  • Fax: 724-832-9165
Mailing address:
  • Phone: 724-832-7045
  • Fax: 724-832-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD066383L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: