Individual
KINAN ATTASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Mailing address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01062044
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200843720
—
IN
Enumeration date
10/10/2006
Last updated
03/17/2021
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