Atassi, Fadi
Atassi, Fadi is an individual health care provider with primary practice located at 2082 Mesquite Ave Suite A100, Lake Havasu City AZ 86403-6710. 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. Atassi, Fadi can be contacted via phone (928) 453-2727.Contact Information
Primary practice address
2082 Mesquite Ave Suite A100
Lake Havasu City AZ 86403-6710
Phone: (928) 453-2727
Fax: (928) 453-2828
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44211 | Arizona |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 44211 | Arizona |
Profile Details
NPI number | 1851553119 |
---|---|
LBN Legal business name | Atassi, Fadi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2008 |
Last updated | Apr 15th, 2014 - about 10 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 | 1851553119 | NPPES |
Arizona | MEDICAID | 603954 |
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