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Contact Information

FOUAD V ATALLA, MD
1048 ASHLEY ST STE 303
BOWLING GREEN, KY42103-2451
 Phone: 270-796-8960
 Fax: 270-842-5683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FOUAD V ATALLA · (Male)

NPI Number 1063408771
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 33744
  • KY Medicaid 64337447
Hospital affiliation(s) Not Available
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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