# EMAD ALATASSI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528018256
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 4301069292 | MI | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 4301069292 | MI | — |
| 207RP1001X | Pulmonary Disease Physician | 4301069292 | MI | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301069292 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1528018256 | — | MI |
| 01 | — | MI4989142 | MEDICARE PTAN | MI |