Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Husam Srour Mallah, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1912048703

Dr. Husam Srour Mallah, MD is a Pediatric Gastroenterology Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5310 W Thunderbird Rd Ste W311
Glendale, AZ 85306-4706
Phone: (602) 865-4230
Fax: (602) 865-4250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 50552 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 50552 (AZ)

Record details

NPI number1912048703
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026

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