Individual
MOHAMMAD FATTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-8775
Mailing address
PO BOX 6716, FLORENCE, KY 41022-6716
(859) 342-4087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43438
KY
Other
Enumeration date
05/09/2008
Last updated
01/08/2024
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