Provider Demographics
NPI:1750725149
Name:KHATEEB, FAISAL (MD)
Entity type:Individual
Prefix:
First Name:FAISAL
Middle Name:
Last Name:KHATEEB
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:IBRAHIM ALANQUARI STREET
Mailing Address - Street 2:BUILDING 4710
Mailing Address - City:JEDDAH
Mailing Address - State:MECCA
Mailing Address - Zip Code:23617
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:IBRAHIM AL-ANQARI, ALMOHAMMADIYYAH
Practice Address - Street 2:BUILDING 4710
Practice Address - City:JEDDAH
Practice Address - State:MAKKAH PROVINCE
Practice Address - Zip Code:23617
Practice Address - Country:SA
Practice Address - Phone:773-551-9248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program