Provider Demographics
NPI:1700149218
Name:HOSPITALIST ALLIANCE LLC
Entity type:Organization
Organization Name:HOSPITALIST ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEHMET
Authorized Official - Middle Name:AYDIN
Authorized Official - Last Name:ATILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-817-6017
Mailing Address - Street 1:PO BOX 5491
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33045-5491
Mailing Address - Country:US
Mailing Address - Phone:305-295-3535
Mailing Address - Fax:866-629-9347
Practice Address - Street 1:5900 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4342
Practice Address - Country:US
Practice Address - Phone:305-295-3535
Practice Address - Fax:866-629-9347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty