NPI 1063408771

Fouad Victor Atalla, MD

Practitioner Plastic and Reconstructive Surgery Physician Bowling Green, KY

Practice location

Address: 1048 Ashley St STE 303, Bowling Green, KY 42103-2451
Phone: (270) 796-8960
Fax: (270) 842-5683

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 33744 (KY)

Other Surgery providers in Kentucky →

Registry record

NPI: 1063408771
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2005
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.