Provider Demographics
NPI:1598320079
Name:ABU ATA, NADEEN KARIM (MD)
Entity Type:Individual
Prefix:
First Name:NADEEN
Middle Name:KARIM
Last Name:ABU ATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:CINCINNATI CHILDREN'S MEDICAL CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-633-4504
Mailing Address - Fax:513-636-8145
Practice Address - Street 1:CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Practice Address - Street 2:3333 BURNET AVE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4504
Practice Address - Fax:513-636-8145
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH45.1429562085R0202X
OH57.2469962085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology