Altaf, Athar

Altaf, Athar is an individual health care provider with primary practice located at 675 Baltimore Dr , Wilkes Barre PA 18702-7900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Altaf, Athar can be contacted via phone (570) 808-5780.

Contact Information

Primary practice address
675 Baltimore Dr Wilkes Barre PA 18702-7900
Phone: (570) 808-5780
Fax: (570) 808-5753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39759 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD437577 Pennsylvania

Profile Details

NPI number 1447201454
LBN Legal business name Altaf, Athar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 5th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447201454 NPPES
Pennsylvania MEDICAID 102329894

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