Individual
DR. RIAD HASSAN AL NATOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
(765) 502-4709
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082342A
IN
207R00000X
Internal Medicine Physician
4301103123
MI
208600000X
Surgery Physician
251620
MA
208M00000X
Hospitalist Physician
Primary
01082342A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006037196
PASSPORT NUMBER
—
Enumeration date
07/02/2012
Last updated
03/31/2026
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