# KHALED MAZEN EL KHATIB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831930064
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 94-11677 | KS | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | TRN41634 | FL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116042641 | VA | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 06/15/2026
