Provider Demographics
NPI:1386042182
Name:ATIYEH, JOSHUA MICHAEL (PA-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:ATIYEH
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:239-432-8331
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:2340 E CALVADA BLVD STE 7
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5821
Practice Address - Country:US
Practice Address - Phone:775-360-4933
Practice Address - Fax:702-302-4125
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2025-03-03
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Provider Licenses
StateLicense IDTaxonomies
NVPA1584363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant