Provider Demographics
NPI:1013089598
Name:ALATTAR, MAHA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHA
Middle Name:
Last Name:ALATTAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1101 SAM PERRY BLVD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4467
Mailing Address - Country:US
Mailing Address - Phone:540-899-1354
Mailing Address - Fax:540-899-1359
Practice Address - Street 1:1101 SAM PERRY BLVD
Practice Address - Street 2:SUITE 414
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-899-1354
Practice Address - Fax:540-899-1359
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3000052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00X493N01Medicare PIN