Individual
FADI ATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2082 MESQUITE AVE, SUITE A100, LAKE HAVASU CITY, AZ 86403-6710
(928) 453-2727
(928) 453-2828
Mailing address
PO BOX 3539, LAKE HAVASU CITY, AZ 86405-3539
(312) 371-6142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44211
AZ
207RI0011X
Interventional Cardiology Physician
Primary
44211
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603954
—
AZ
Enumeration date
06/27/2008
Last updated
04/15/2014
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