| Mahmoud Khattab MD Inc | |
|
9390 Big Horn Blvd Suite 145 Elk Grove CA 95758-7978 | |
| (916) 691-6666 | |
| (916) 691-6668 |
| Full Name | Mahmoud Khattab MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9390 Big Horn Blvd, Elk Grove, California |
| Authorized Official Name and Position | Mahmoud Khattab (PRESIDENT) |
| Authorized Official Contact | 9166916666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahmoud Khattab MD Inc 9390 Big Horn Blvd Suite 145 Elk Grove CA 95758-7978 Ph: (916) 691-6666 | Mahmoud Khattab MD Inc 9390 Big Horn Blvd Suite 145 Elk Grove CA 95758-7978 Ph: (916) 691-6666 |
| NPI Number | 1164720363 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164720363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A97693 (California) | Primary |
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