Provider Demographics
NPI:1821793092
Name:ELKHATIB, AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ELKHATIB
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:ALREHAB- GROUP 105- BLOCK 15
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:CAIRO
Mailing Address - State:ALREHAB
Mailing Address - Zip Code:11841
Mailing Address - Country:EG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ALREHAB- GROUP 105- BLOCK 15
Practice Address - Street 2:APARTMENT 3
Practice Address - City:CAIRO
Practice Address - State:ALREHAB
Practice Address - Zip Code:11841
Practice Address - Country:EG
Practice Address - Phone:216-206-8332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program