Atassi, Keith
Atassi, Keith is an individual health care provider with primary practice located at 3800 Saint Mary Rd Ste 202 , Valparaiso IN 46383-3986. 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, Keith can be contacted via phone (219) 286-3788.Contact Information
Primary practice address
3800 Saint Mary Rd Ste 202
Valparaiso IN 46383-3986
Phone: (219) 286-3788
Fax: (219) 286-3791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01038771A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01038771A | Indiana |
Profile Details
| NPI number | 1336160753 |
|---|---|
| LBN Legal business name | Atassi, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Sep 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336160753 | NPPES |
| Indiana | MEDICAID | 100356630 | |
| Indiana | Other | 060034739 | |
| Indiana | Other | 000000183526 | |
| Indiana | Other | 90000561 |
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