Individual
DR. ABDUL R. WATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 UNIVERSITY CT, WEST CHESTER, OH 45069-6542
(513) 867-3331
(513) 867-2667
Mailing address
2830 VICTORY PKWY, CENTRAL CREDENTIALING, CINCINNATI, OH 45206-1785
(513) 245-3669
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35065300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331560
ANTHEM
OH
05
—
2050971
—
OH
01
—
341221800122
CARESOURCE
OH
01
—
F65300
SUMMACARE
OH
01
—
P00136360
RAILROAD MEDICARE
—
Enumeration date
01/16/2006
Last updated
06/27/2011
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