Provider Demographics
NPI:1336566025
Name:EL-KHASHAB, AMR (DPM)
Entity Type:Individual
Prefix:
First Name:AMR
Middle Name:
Last Name:EL-KHASHAB
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:21216 NORTHWEST FREEWAY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-955-5500
Mailing Address - Fax:281-890-9365
Practice Address - Street 1:21216 NORTHWEST FREEWAY
Practice Address - Street 2:SUITE 240
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-955-5500
Practice Address - Fax:281-890-9365
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2018-02-08
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Provider Licenses
StateLicense IDTaxonomies
NY006607213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine