Elmallah, Wael
Elmallah, Wael is an individual health care provider with primary practice located at 1 Lake St Suite 204, New Britain CT 06052-1396. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Elmallah, Wael can be contacted via phone (860) 223-0220.Contact Information
Primary practice address
1 Lake St Suite 204
New Britain CT 06052-1396
Phone: (860) 223-0220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35. 091561 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 55451 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35. 091561 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 55451 | Connecticut |
Profile Details
| NPI number | 1487861712 |
|---|---|
| LBN Legal business name | Elmallah, Wael |
| Credentials | MD, MSC, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Feb 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487861712 | NPPES |
| Connecticut | MEDICAID | D400332473 |
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