| Albert K Mall, MD | |
| 1111 Franklin St, Suite 230, Johnstown, PA 15905 | |
| (814) 262-7980 | |
| (814) 262-7983 | 
| Full Name | Albert K Mall | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | 1111 Franklin St, Johnstown, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346230927 | NPI | - | NPPES | 
| P00940198 | Other | RAILROAD MEDICARE | |
| 0009992360011 | Medicaid | PA | |
| 442753 | Other | PA | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD023412E (Pennsylvania) | Primary | 
| Entity Name | Pennsylvania Department Of Human Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154304483 PECOS PAC ID: 0547168064 Enrollment ID: O20041130000438 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Albert K Mall, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Albert K Mall, MD 1111 Franklin St, Suite 230, Johnstown, PA 15905 Ph: (814) 262-7980 | 
| Robert Mucciola, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1503 Scalp Ave, Johnstown, PA 15904 Phone: 814-262-0333 Fax: 814-262-7129 | |
| Delbert Lynn Yoder, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Franklin St, Suite 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 | |
| Dr. Dottie L Watson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 | |
| Anne M Sterlin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Franklin St, Suite 300, Johnstown, PA 15905 Phone: 814-534-9203 Fax: 814-534-9465 | |
| Adib Najib Khouzami, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Franklin St, Ste 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 | |
| Jihad Elias Azar, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Franklin St, Ste 300, Johnstown, PA 15905 Phone: 814-534-9230 Fax: 814-534-9465 |