Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 0101245806 | VA |
Y | 208800000X | Urologist | D62204 | MD |
N | 208800000X | Urologist | MD035146 | DC |
NPI | 1033383781 |
---|---|
Provider Name | Mohamed A Atalla |
First Address | Rockville, MD 20852-4908 |
Second Address | Largo, MD 20774-5374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 24/09/2021 |