Individual
IMAD BITAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 MILLSAPS DR, HATTIESBURG, MS 39402-1328
(601) 268-5170
(601) 268-5179
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5170
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20107
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08303857
—
MS
01
—
9687191
AETNA
MS
Enumeration date
02/22/2008
Last updated
07/22/2020
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