Provider Demographics
NPI:1083706279
Name:ALMALOUF, THAER (MD)
Entity Type:Individual
Prefix:
First Name:THAER
Middle Name:
Last Name:ALMALOUF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 WEST NEWTON ST SUITE 10
Mailing Address - Street 2:PEDIATRIC ASSOCIATES OF WESTMORELAND
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-832-7045
Mailing Address - Fax:724-832-9165
Practice Address - Street 1:555 W NEWTON ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2861
Practice Address - Country:US
Practice Address - Phone:724-832-7045
Practice Address - Fax:724-832-9165
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066383L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017216580003Medicaid
PA0017216580003Medicaid