# B. ATASSI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** B. ATASSI MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285837138
- **Legal business name:** B. ATASSI MD PC
- **Authorized official:** DR. BASSEM ATASSI MD (MD)
- **Authorized official phone:** (219) 738-2722

## Contact information

- **Practice address:** 206 E 86TH PL, MERRILLVILLE, IN 46410-6258
- **Practice address phone:** (219) 738-2722
- **Mailing address:** 206 E 86TH PL, MERRILLVILLE, IN 46410-6258
- **Mailing address phone:** (219) 738-2722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01026618 | IN | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 10/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200818780 | — | IN |