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Organization

B. ATASSI MD PC

Active
Parent organization
B. ATASSI MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
B. ATASSI MD PC
Authorized official
DR. BASSEM ATASSI MD (MD)
(219) 738-2722
Entity
Organization

Contact information

Practice address
206 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 738-2722
Mailing address
206 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 738-2722

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01026618
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200818780
IN
Enumeration date
06/07/2007
Last updated
10/09/2015
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