Dr. Talal Imad Mousallem
Allergist & Immunologist Pediatric Allergist
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
Dr. Talal Imad Mousallem
Allergist & Immunologist Pediatric Allergist
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
(336) 716-2255
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Talal Imad Mousallem
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-2255
Second Address
- Dr. Talal Imad Mousallem
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-2255
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Is Dr. Talal Imad Mousallem a sole practitioner?
Is Dr. Talal Imad Mousallem accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 2010-01468 | NC |
| Y | 2080P0201X | Pediatric Allergist | 2010-01468 | NC |
National Provider Identifier
| NPI | 1487812749 |
|---|---|
| Provider Name | Dr. Talal Imad Mousallem |
| First Address | Winston Salem, NC 27157-0001 |
| Second Address | Winston Salem, NC 27157-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2008 |
| Last Update Date | 18/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1487812749 | (05) | NC |
| 1487812749 | TRICARE (01) | NC |
| 1487812749 | VIRGINIA MEDICAID (01) | VA |
| 1846B | BCBS (01) | NC |
| 276230 | MEDCOST (01) | NC |
| 3846320 | UHC (01) | NC |
| 4762627 | AETNA (01) | NC |
| Q0146O | SC MEDICAID (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.