Individual
DR. EMAD ATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
(440) 323-7900
Mailing address
860 E BROAD ST, SUITE I, ELYRIA, OH 44035-6542
(440) 323-8458
(440) 323-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-070173
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-070173
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-070173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2194389
—
OH
Enumeration date
07/03/2006
Last updated
11/08/2010
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