Mona Atta, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Muncie, IN

NPI 1760127468 · NPPES record last updated Apr 28, 2022

Key facts

NPI
1760127468
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2525 W University Ave Ste 401
Muncie, IN 47303-3433
Phone
(765) 747-4306
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220630000693 IN Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
8729468244

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2525 W University Ave Ste 401
Muncie, IN 47303-3433

Mailing address

2525 W University Ave Ste 401
Muncie, IN 47303-3433
Phone (765) 747-4306

Other providers in Muncie, IN

All providers in Muncie, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.