Provider Demographics
NPI:1164855805
Name:ABDELMAGID, KHALED
Entity Type:Individual
Prefix:DR
First Name:KHALED
Middle Name:
Last Name:ABDELMAGID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CENTER ST,
Mailing Address - Street 2:CWEB 1, RM 1538
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36688
Mailing Address - Country:US
Mailing Address - Phone:251-434-3915
Mailing Address - Fax:
Practice Address - Street 1:1700 CENTER ST,
Practice Address - Street 2:CWEB 1, RM 1538
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688
Practice Address - Country:US
Practice Address - Phone:251-434-3915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program