Healthcare Provider Details

I. General information

NPI: 1952617110
Provider Name (Legal Business Name): AMI YEHONATN ATTALI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 STANTON L YOUNG BLVD STE 1140
OKLAHOMA CITY OK
73104-5036
US

IV. Provider business mailing address

2540 WINDY HILL RD SE
MARIETTA GA
30067-8605
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4391
  • Fax: 405-271-8665
Mailing address:
  • Phone: 470-644-1274
  • Fax: 470-644-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number67385
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number60246402
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number8865
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: