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Contact Information

AHMED A ABDEL LATIEF, MD
211 N EDDY ST
SOUTH BEND, IN46617-2808
 Phone: 574-239-1433
 Fax: 574-239-1438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AHMED A ABDEL LATIEF · (Male)

NPI # 1093704801
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 07/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01052385A
  • IN Medicaid 200266710
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF SOUTH BEND - (Acute Care)
    615 N MICHIGAN ST
    SOUTH BEND, IN 46601
  • SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    5215 HOLY CROSS PKWY
    MISHAWAKA, IN 46545
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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