Individual
DR. MOHAMED A ATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36100 EUCLID AVE, SUITE 120, WILLOUGHBY, OH 44094-4456
(440) 951-8360
(440) 951-9408
Mailing address
36100 EUCLID AVE, SUITE 120, WILLOUGHBY, OH 44094-4456
(440) 951-8360
(440) 951-9408
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-037183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130202
ANTHEM
OH
05
—
0259009
—
OH
01
—
18958
QUALCHOICE
OH
01
—
2597481
UNITED HEALTHCARE
OH
01
—
264168
FEDERAL BLACK LUNG
OH
01
—
341313510A
SUMMACARE
OH
01
—
4006955
AETNA
OH
Enumeration date
03/22/2006
Last updated
07/10/2007
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