Provider Demographics
NPI:1710957162
Name:EL-KHATIB, HAZEM N (MD)
Entity Type:Individual
Prefix:DR
First Name:HAZEM
Middle Name:N
Last Name:EL-KHATIB
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 1:320 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-8820
Mailing Address - Fax:412-359-8222
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-8820
Practice Address - Fax:412-359-8222
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065809L174400000X, 208G00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1506097OtherGATEWAY HEALTH PLAN
PA202393OtherINTERGROUP
PA277005OtherFEDERAL BLACK LUNG
PA60051973OtherUNITED HEALTHCARE
PA205863OtherUPMC HEALTH PLANS
PA96660OtherTHREE RIVERS HEALTH PLAN
PA379634OtherHIGHMARK/KEYSTONE
PA202393OtherBEST HEALTH
PA60051973OtherMEDICARE RAILROAD
PAG78624OtherHEALTH AMERICA/ASSURANCE
PA0017355000001Medicaid
PAG78624OtherHEALTH AMERICA/ASSURANCE
PA1506097OtherGATEWAY HEALTH PLAN
PA202393OtherBEST HEALTH