Provider Demographics
NPI:1760778518
Name:ATTAYA, HOSAM NABIL (MD)
Entity Type:Individual
Prefix:DR
First Name:HOSAM
Middle Name:NABIL
Last Name:ATTAYA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12200 WARWICK BLVD
Mailing Address - Street 2:STE. 490A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2344
Mailing Address - Country:US
Mailing Address - Phone:757-534-6111
Mailing Address - Fax:757-534-6096
Practice Address - Street 1:12200 WARWICK BLVD
Practice Address - Street 2:STE. 490A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2344
Practice Address - Country:US
Practice Address - Phone:757-534-6111
Practice Address - Fax:757-534-6096
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
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Provider Licenses
StateLicense IDTaxonomies
VA01160236222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology