Individual
DR. HANY Y ATALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME148497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME148497
FLORIDA MEDICAL BOARD
FL
Enumeration date
07/06/2006
Last updated
03/22/2021
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