Dr Abdul Latif Itani, MD is a
Neurological Surgery physician based in Willoughby, Ohio. Dr Abdul Latif Itani is licensed to practice in Ohio (license number 350433691) and his current practice location is 2785 Som Center Rd, Willoughby, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 975-5575.
NPI number for Dr Abdul Latif Itani is 1750481255 and his current mailing address is 2785 Som Center Rd, Willoughby, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750481255.
Physician's Profile
| Full Name | Dr Abdul Latif Itani |
|---|
| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 2785 Som Center Rd, Willoughby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750481255
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Abdul Latif Itani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750481255 | NPI | - | NPPES |
| 0408919 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 350433691 (Ohio) | Primary |
| 207T00000X | Neurological Surgery | 035432L (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Abdul Latif Itani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Abdul Latif Itani, MD
2785 Som Center Rd,
Willoughby, OH 44094-9139
Ph: (440) 975-5575 | Dr Abdul Latif Itani, MD
2785 Som Center Rd,
Willoughby, OH 44094-9139
Ph: (440) 975-5575 |
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