Abdel-Latief, Ahmed A

Abdel-Latief, Ahmed A is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Abdel-Latief, Ahmed A can be contacted via phone (574) 239-1433.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 239-1433
Fax: (574) 239-1438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01052385A Indiana

Profile Details

NPI number 1093704801
LBN Legal business name Abdel-Latief, Ahmed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 29th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093704801 NPPES
Indiana MEDICAID 200266710

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