Individual
HOUDA ALATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 S JACKSON ST, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, LOUISVILLE, KY 40202-1675
(502) 852-1762
(502) 852-1761
Mailing address
PO BOX 967, LOUISVILLE, KY 40201-0967
(502) 852-1762
(502) 852-1761
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
40275
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
123
—
Enumeration date
01/04/2007
Last updated
01/25/2013
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