Provider Demographics
NPI:1154942407
Name:INAS H AL-ATTAR
Entity type:Organization
Organization Name:INAS H AL-ATTAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:INAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:AL-ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-487-0415
Mailing Address - Street 1:143 UNDERCLIFF TER
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2175
Mailing Address - Country:US
Mailing Address - Phone:304-487-0415
Mailing Address - Fax:304-487-0417
Practice Address - Street 1:143 UNDERCLIFF TER
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2175
Practice Address - Country:US
Practice Address - Phone:304-487-0415
Practice Address - Fax:304-487-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty