Individual
MOUNIR B ELKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-3536
(419) 517-6788
(419) 517-7695
Mailing address
4126 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-3536
(419) 517-6788
(419) 517-7695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35036107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141182
ANTHEM
OH
01
—
00221
PARAMOUNT
OH
05
—
0232206
—
OH
01
—
04-03080
UHC
OH
01
—
0633287
AETNA
OH
01
—
110176061
RRMC
OH
Enumeration date
07/15/2005
Last updated
05/20/2010
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