Khattab, Ahmad
Khattab, Ahmad is an individual health care provider with primary practice located at 802 S Jackson Ave Ste 410 , Tulsa OK 74127-9059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Khattab, Ahmad can be contacted via phone (918) 631-8202.Contact Information
Primary practice address
802 S Jackson Ave Ste 410
Tulsa OK 74127-9059
Phone: (918) 631-8202
Fax: (918) 631-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 6580 | Oklahoma |
Profile Details
| NPI number | 1437569639 |
|---|---|
| LBN Legal business name | Khattab, Ahmad |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2014 |
| Last updated | Oct 19th, 2021 - about 4 years ago |
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 | 1437569639 | NPPES |
| Oklahoma | MEDICAID | 200844910A | |
| Oklahoma | Other | 830031 |
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