Basic Information
Provider Information
NPI: 1225695570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL-ATTAR
FirstName: NEAL
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22580 TRILLIUM LOOP
Address2:  
City: NOVI
State: MI
PostalCode: 483754637
CountryCode: US
TelephoneNumber: 2488549637
FaxNumber:  
Practice Location
Address1: 3601 W 13 MILE RD
Address2:  
City: ROYAL OAK
State: MI
PostalCode: 480736712
CountryCode: US
TelephoneNumber: 2488985000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2019
LastUpdateDate: 05/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X4351044220MIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home