Elbatta, Mohammad Adnan
Elbatta, Mohammad Adnan is an individual health care provider with primary practice located at 17400 Irvine Blvd Ste F , Tustin CA 92780-3030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Elbatta, Mohammad Adnan can be contacted via phone (714) 937-9400.Contact Information
Primary practice address
17400 Irvine Blvd Ste F
Tustin CA 92780-3030
Phone: (714) 937-9400
Fax: (714) 937-9404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A162124 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35133929 | Ohio |
Profile Details
| NPI number | 1316204894 |
|---|---|
| LBN Legal business name | Elbatta, Mohammad Adnan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Jan 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316204894 | NPPES |
| Ohio | MEDICAID | 0299053 | |
| Ohio | MEDICAID | 3025372 |
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