Individual
DR. ABDUL LATIF ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2785 SOM CENTER RD, WILLOUGHBY, OH 44094-9139
(440) 975-5575
(440) 944-0920
Mailing address
2785 SOM CENTER RD, WILLOUGHBY, OH 44094-9139
(440) 975-5575
(440) 944-0920
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
035432L
PA
207T00000X
Neurological Surgery Physician
Primary
350433691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408919
—
OH
Enumeration date
09/24/2006
Last updated
07/08/2007
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