Provider Demographics
NPI:1700572161
Name:ATTUM DOCTORS
Entity Type:Organization
Organization Name:ATTUM DOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BASEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATTUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-468-7512
Mailing Address - Street 1:2320 FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:LOS OSOS
Mailing Address - State:CA
Mailing Address - Zip Code:93402-3526
Mailing Address - Country:US
Mailing Address - Phone:502-468-7512
Mailing Address - Fax:
Practice Address - Street 1:2320 FRESNO ST
Practice Address - Street 2:
Practice Address - City:LOS OSOS
Practice Address - State:CA
Practice Address - Zip Code:93402-3526
Practice Address - Country:US
Practice Address - Phone:502-468-7512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty