Individual
HUSSEIN MOHAMED ABOULATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-2564
Mailing address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-2564
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101042056
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01567459
—
NY
01
—
110063483
RAILROAD MEDICARE
VA
05
—
6064469
—
VA
05
—
890541X
—
NC
Enumeration date
04/26/2006
Last updated
05/13/2009
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