Dalati, Ghassan

Dalati, Ghassan is an individual health care provider with primary practice located at 101 E Brunson St Ste 110 , Enterprise AL 36330-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dalati, Ghassan can be contacted via phone (334) 348-4278.

Contact Information

Primary practice address
101 E Brunson St Ste 110 Enterprise AL 36330-2500
Fax: (334) 348-8883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39041 Kentucky

Profile Details

NPI number 1457456881
LBN Legal business name Dalati, Ghassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 19th, 2020 - about 5 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 1457456881 NPPES
Kentucky Other P00431665 RAILROAD
Kentucky Other 000000547852 RAILROAD
Kentucky MEDICAID 3810014609 RAILROAD
Kentucky MEDICAID 64098650 RAILROAD

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