Individual
DR. ISSAM ATALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 S SPRING AVE STE 2100, SAINT LOUIS, MO 63110-2520
(702) 277-9607
Mailing address
1008 S SPRING AVE STE 2100, SAINT LOUIS, MO 63110-2520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018012088
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2021013982
MO
Other
Enumeration date
06/11/2018
Last updated
08/20/2021
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