Provider Demographics
NPI:1598729238
Name:TATSAS, ALON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALON
Middle Name:
Last Name:TATSAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4523 COLEWOOD CIR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1887
Mailing Address - Country:US
Mailing Address - Phone:225-610-3989
Mailing Address - Fax:
Practice Address - Street 1:4523 COLEWOOD CIR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1887
Practice Address - Country:US
Practice Address - Phone:225-610-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD 025672207L00000X
PA428923207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology