IndividualActive
Mohanned Mallah, M.D.
NPI 1891158457 · Surgical Critical Care Physician · Charleston, SC
Provider details
- NPI number
- 1891158457
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 88198 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
171 Ashley Ave
Charleston, SC 29425-5812
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Additional practice locations (1)
- 1000 Blythe Blvd Ste 601Charlotte, NC 28203-5812Phone: (704) 355-7874
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.