Provider Demographics
NPI:1285627430
Name:ALLERGY INSTITUTE, P.C.
Entity Type:Organization
Organization Name:ALLERGY INSTITUTE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALKHATIB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-223-8622
Mailing Address - Street 1:2001 WESTOWN PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1540
Mailing Address - Country:US
Mailing Address - Phone:515-223-8622
Mailing Address - Fax:515-223-5324
Practice Address - Street 1:2001 WESTOWN PKWY STE 107
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1540
Practice Address - Country:US
Practice Address - Phone:515-223-8622
Practice Address - Fax:515-223-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA41071OtherBLUE CROSS & BLUE SHIELD
IA0141341Medicaid
IACI3649OtherRAILROAD MEDCAR GROUP NO
IAA02159Medicare UPIN
IA41071OtherBLUE CROSS & BLUE SHIELD
IA41071Medicare PIN