Khaled Mazen El Khatib, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portsmouth, Virginia. His current practice location is
3640 High St, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 397-6344.
Khaled Mazen El Khatib is licensed to practice in Virginia (license number 0116042641) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831930064.
Physician's Profile
| Full Name | Khaled Mazen El Khatib |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3640 High St, Portsmouth, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831930064
- Provider Enumeration Date: 06/03/2024
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 8820535958
- Enrollment ID: I20240806004216
Medical Identifiers
Medical identifiers for Khaled Mazen El Khatib such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831930064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 94-11677 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116042641 (Virginia) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | TRN41634 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khaled Mazen El Khatib is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Khaled Mazen El Khatib, MD 3640 High St, Portsmouth, VA 23707-3213 Ph: (757) 397-6344 | Khaled Mazen El Khatib, MD 3640 High St, Portsmouth, VA 23707-3213 Ph: (757) 397-6344 |
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