Provider Demographics
NPI:1649242736
Name:ALKHAS, ADDIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADDIE
Middle Name:
Last Name:ALKHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 DEMPSTER ST STE 210
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1126
Mailing Address - Country:US
Mailing Address - Phone:874-732-8180
Mailing Address - Fax:
Practice Address - Street 1:1875 DEMPSTER ST STE 210
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1126
Practice Address - Country:US
Practice Address - Phone:874-723-8180
Practice Address - Fax:847-723-8521
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036140462207VX0201X
IN01054832A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology