Individual
MOHAMED A ATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101245806
VA
208800000X
Urology Physician
Primary
D62204
MD
208800000X
Urology Physician
MD035146
DC
Other
Enumeration date
04/14/2008
Last updated
09/24/2021
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