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

Jamie A Mallah, MD

Individual provider Pediatrics Physician · NPI 1245421403

Jamie A Mallah, MD is a Pediatrics Physician in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

4683 Van Dyke Rd
Lutz, FL 33558-4880
Phone: (813) 968-7171
Fax: (813) 968-7282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME98703 (FL)

Record details

NPI number1245421403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESSeptember 21, 2011
Mailing address4902 Eisenhower Blvd, Suite 300, Tampa, FL 33634-6344

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