Itani, Abdul Latif
Itani, Abdul Latif is an individual health care provider with primary practice located at 2785 Som Center Rd , Willoughby OH 44094-9139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Itani, Abdul Latif can be contacted via phone (440) 975-5575.Contact Information
Primary practice address
2785 Som Center Rd
Willoughby OH 44094-9139
Phone: (440) 975-5575
Fax: (440) 944-0920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 350433691 | Ohio |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 035432L | Pennsylvania |
Profile Details
| NPI number | 1750481255 |
|---|---|
| LBN Legal business name | Itani, Abdul Latif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750481255 | NPPES |
| Ohio | MEDICAID | 0408919 |
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