Provider Demographics
NPI:1811420656
Name:AL-KHATEEB, THABIT (MD)
Entity type:Individual
Prefix:DR
First Name:THABIT
Middle Name:
Last Name:AL-KHATEEB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:THABIT
Other - Middle Name:
Other - Last Name:AL-KHATEEB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3414 BERKSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-8921
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3414 BERKSHIRE CIR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-8921
Practice Address - Country:US
Practice Address - Phone:828-528-5526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-08
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA842562084P0800X
NC2023-022712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry