Individual
BASEL MOHAMMAD ALTOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241-2832
(502) 394-6350
(502) 394-6351
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01085991A
IN
2085R0001X
Radiation Oncology Physician
Primary
55433
KY
390200000X
Student in an Organized Health Care Education/Training Program
TL0005616
CO
Other
Enumeration date
05/27/2015
Last updated
07/22/2021
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