Atalla, Fouad Victor

Atalla, Fouad Victor is an individual health care provider with primary practice located at 1048 Ashley St Ste 303 , Bowling Green KY 42103-2451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Atalla, Fouad Victor can be contacted via phone (270) 796-8960.

Contact Information

Primary practice address
1048 Ashley St Ste 303 Bowling Green KY 42103-2451
Phone: (270) 796-8960
Fax: (270) 842-5683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 33744 Kentucky

Profile Details

NPI number 1063408771
LBN Legal business name Atalla, Fouad Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 7th, 2020 - about 6 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 1063408771 NPPES
Kentucky MEDICAID 64337447

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