Individual provider · NPI-1
Dr. Mohammed Abdelattif, MD
Internal Medicine · Bronx, NY
NPI number1932711090
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1932711090
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohammed Abdelattif
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2020
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 67130 | TN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1650 Grand ConcourseBronx, NY 10457-7606
Phone 718-960-2099
Mailing address
1084 W Oakland Ave Apt 720Johnson City, TN 37604-2570
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