Provider Demographics
NPI:1205867454
Name:ABDULLA A ATTUM MD PLLC
Entity Type:Organization
Organization Name:ABDULLA A ATTUM MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MD
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATTUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-634-0072
Mailing Address - Street 1:2301 RIVER RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206
Mailing Address - Country:US
Mailing Address - Phone:502-814-3175
Mailing Address - Fax:502-426-5493
Practice Address - Street 1:2355 POPLAR LEVEL RD
Practice Address - Street 2:SUITE 305
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217
Practice Address - Country:US
Practice Address - Phone:502-634-0007
Practice Address - Fax:502-634-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9973Medicare ID - Type Unspecified