Provider Demographics
NPI:1982020418
Name:ABDULLA ATTUM MD PLLC
Entity Type:Organization
Organization Name:ABDULLA ATTUM MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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:502-724-0081
Mailing Address - Street 1:332 W BROADWAY STE 404
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:332 W BROADWAY STE 404
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2116
Practice Address - Country:US
Practice Address - Phone:502-724-0081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty