Atassi, Fadi

Atassi, Fadi is an individual health care provider with primary practice located at 2082 Mesquite Ave Suite A100, Lake Havasu City AZ 86403-6710. 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. Atassi, Fadi can be contacted via phone (928) 453-2727.

Contact Information

Primary practice address
2082 Mesquite Ave Suite A100 Lake Havasu City AZ 86403-6710
Phone: (928) 453-2727
Fax: (928) 453-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 44211 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 44211 Arizona

Profile Details

NPI number 1851553119
LBN Legal business name Atassi, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Apr 15th, 2014 - about 12 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 1851553119 NPPES
Arizona MEDICAID 603954

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