NPI
Houssam M Fadlallah
NPI 1215922109
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2005-09-16
- Last updated
- 2026-10-05
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Specialties
Licenses
- License MI
- 5601003142
Location
- Practice location
- 19855 Outer Dr Ste 207w
- City
- Dearborn MI
- Postal code
- 48124-2193
- Phone
- (313) 327-0044
- Fax
- (313) 347-9026
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Medical Physician Assistants in Dearborn, MI. 25 with this primary taxonomy in the public file.
Other NPIs in Dearborn, MI. 7,244 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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