Fouad Victor Atalla
Plastic and Reconstructive Surgery
1048 Ashley St Ste 303
Bowling Green
, Kentucky 42103-2451
Fouad Victor Atalla
Plastic and Reconstructive Surgery
1048 Ashley St Ste 303
Bowling Green
, Kentucky 42103-2451
(270) 842-5683
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Fouad Victor Atalla
- 1048 Ashley St Ste 303
- Bowling Green, KY
- Zip : 42103-2451
- Fax : (270) 842-5683
- Phone : (270) 796-8960
Second Address
- Fouad Victor Atalla
- 1048 Ashley St Ste 303
- Bowling Green, KY
- Zip : 42103-2451
- Fax : (270) 842-5683
- Phone : (270) 796-8960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 33744 | KY |
National Provider Identifier
| NPI | 1063408771 |
|---|---|
| Provider Name | Fouad Victor Atalla |
| First Address | Bowling Green, KY 42103-2451 |
| Second Address | Bowling Green, KY 42103-2451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 07/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64337447 | (05) | KY |
| G70569 | (02) |
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.