Alattar, Fadi Taha

Alattar, Fadi Taha is an individual health care provider with primary practice located at 3670 Parker Blvd Ste 101 , Pueblo CO 81008. 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. Alattar, Fadi Taha can be contacted via phone (719) 562-2900.

Contact Information

Primary practice address
3670 Parker Blvd Ste 101 Pueblo CO 81008
Phone: (719) 562-2900
Fax: (719) 924-1592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD 60507064 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0060507 Colorado

Profile Details

NPI number 1255585329
LBN Legal business name Alattar, Fadi Taha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2008
Last updated Sep 4th, 2018 - about 8 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 1255585329 NPPES
Colorado MEDICAID 9000162970

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