Individual
EYAS HATTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST # A1H01, LOUISVILLE, KY 40202-1675
(502) 852-8235
Mailing address
635 BARNHILL DR, A128, INDIANAPOLIS, IN 46202-5126
(317) 274-4806
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
01055843A
IN
207ZN0500X
Neuropathology Physician
Primary
49038
KY
207ZP0101X
Anatomic Pathology Physician
01055843A
IN
207ZP0101X
Anatomic Pathology Physician
49038
KY
Other
Enumeration date
04/27/2006
Last updated
04/24/2023
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