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

Dr. Mustapha Mohamed Mallah, MD

Individual provider Rheumatology Physician · NPI 1104879683

Dr. Mustapha Mohamed Mallah, MD is a Rheumatology in Wyandotte, Michigan. Qualified in 1993, 33 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2006
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

1623 Ford Ave
Wyandotte, MI 48192-2303
Phone: (734) 389-7167
Fax: (734) 282-7390
Show map & directions

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence MI-4301081080 (MI)

Record details

NPI number1104879683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRHEUMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wyandotte