Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 036088959 | IL |
N | 207R00000X | Internist | 01049192 | IN |
N | 111NI0900X | Internist | 01049192 | IN |
Y | 207R00000X | Internist | 41923 | AZ |
Y | 111NI0900X | Internist | 41923 | AZ |
NPI | 1053396044 |
---|---|
Provider Name | Dr. Muhib Alattar |
First Address | Scottsdale, AZ 85258-4581 |
Second Address | Scottsdale, AZ 85258-4581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 30/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200221930 | (05) | IN |
452694 | (05) | AZ |