Individual
KHALED JAMAL MOHD ALKHATEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
593 EDDY STREET APC 12, PROVIDENCE, RI 02903
(401) 444-5057
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD19269
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2017
Last updated
06/21/2023
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