Provider Demographics
NPI:1952720310
Name:ABU IHWEIJ, KHALED (MD)
Entity type:Individual
Prefix:DR
First Name:KHALED
Middle Name:
Last Name:ABU IHWEIJ
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 1:331 NEWMAN SPRINGS RD
Mailing Address - Street 2:BLDG 2, STE 220
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5688
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 ESSEX ST
Practice Address - Street 2:STE 103
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-2709
Practice Address - Country:US
Practice Address - Phone:551-996-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD475548207RS0012X, 207RP1001X
NJ25MA10219700207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine