Healthcare Provider Details

I. General information

NPI: 1366928160
Provider Name (Legal Business Name): REEM AL-ATASSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 PENN AVE
PITTSBURGH PA
15206-3453
US

IV. Provider business mailing address

815 FREEPORT RD
PITTSBURGH PA
15215-3301
US

V. Phone/Fax

Practice location:
  • Phone: 412-361-7574
  • Fax:
Mailing address:
  • Phone: 412-622-7343
  • Fax: 412-621-8235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD486143
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: