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Export Provider Record NPI 1114194156
Mohammad FattalMD
Active
NPI Number1114194156
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1114194156
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-05-09
Last Updated2024-01-08
Mailing AddressPo Box 6716
Florence, KY 41022-6716
United States
Phone: (859) 342-4087
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Primary Practice Address3876 Turkeyfoot Rd
Elsmere, KY 41018-2838
United States
Phone: (859) 342-8775
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineKY43438
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About NPI 1114194156

Mohammad Fattal MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114194156. The primary specialty listed is Family Medicine. The provider is located in Elsmere, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-05-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114194156?

NPI 1114194156 belongs to Mohammad Fattal MD, a Family Medicine in Elsmere, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114194156 active?

The current status of NPI 1114194156 in the NPPES registry is Active. The record was last updated on 2024-01-08.

What specialty is NPI 1114194156?

NPI 1114194156 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114194156?

You can verify NPI 1114194156 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114194156?

The primary practice address on file for NPI 1114194156 is 3876 Turkeyfoot Rd, Elsmere, KY 41018-2838. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114194156 issued?

NPI 1114194156 was first issued (enumerated) on 2008-05-09. The NPPES record was last updated on 2024-01-08.

Practice Location Map

Mohammad Fattal is located at 3876 Turkeyfoot Rd, Elsmere, KY. Use the map below to find directions or verify the practice location.

📍 3876 Turkeyfoot Rd, Elsmere, KY 41018-2838  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mohammad Fattal. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114194156. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine43438KY
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162