Individual
DR. AHMED A ABDEL-LATIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 239-1433
(574) 239-1438
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 239-1433
(574) 239-1438
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01052385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266710
—
IN
Enumeration date
10/14/2005
Last updated
07/29/2016
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