Alattar, Fadi Taha
Alattar, Fadi Taha is an individual health care provider with primary practice located at 3670 Parker Blvd Ste 101 , Pueblo CO 81008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Alattar, Fadi Taha can be contacted via phone (719) 562-2900.Contact Information
Primary practice address
3670 Parker Blvd Ste 101
Pueblo CO 81008
Phone: (719) 562-2900
Fax: (719) 924-1592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD 60507064 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | DR.0060507 | Colorado |
Profile Details
| NPI number | 1255585329 |
|---|---|
| LBN Legal business name | Alattar, Fadi Taha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2008 |
| Last updated | Sep 4th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255585329 | NPPES |
| Colorado | MEDICAID | 9000162970 |
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