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Individual

DR. ATIYA M. LATEEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-1330
(304) 623-1333
Mailing address
PO BOX 1610, CLARKSBURG, WV 26302-1610
(304) 623-1330
(304) 623-1333

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18417
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000670000
WV
Enumeration date
09/20/2006
Last updated
07/08/2007
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