Provider Demographics
NPI:1528165214
Name:AL-ATTAR, INAS HASSAN (MD)
Entity type:Individual
Prefix:
First Name:INAS
Middle Name:HASSAN
Last Name:AL-ATTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 NEW HOPE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2354
Mailing Address - Country:US
Mailing Address - Phone:304-487-0415
Mailing Address - Fax:304-487-0417
Practice Address - Street 1:34 NEW HOPE RD STE 3
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2354
Practice Address - Country:US
Practice Address - Phone:304-487-0415
Practice Address - Fax:304-487-0417
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV180612080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
4610271OtherAETNA
WV0109538000Medicaid
001721779OtherBLUE CROSS BLUE SHIELD
4610271OtherAETNA
WV0779781Medicare PIN