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Organization
MAHMOUD KHATTAB MD INC
Active
Organization
MAHMOUD KHATTAB MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD KHATTAB MD (PRESIDENT)
(916) 691-6666
Entity
Organization
Contact information
Practice address
9390 BIG HORN BLVD, SUITE 145, ELK GROVE, CA 95758-7978
(916) 691-6666
(916) 691-6668
Mailing address
9390 BIG HORN BLVD, SUITE 145, ELK GROVE, CA 95758-7978
(916) 691-6666
(916) 691-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A97693
CA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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