Individual
ISMAIL ELKHATTIB
Active
Individual
ISMAIL ELKHATTIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
066790
CT
207RG0100X
Gastroenterology Physician
Primary
87945-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336645134
—
WI
Enumeration date
04/02/2018
Last updated
08/11/2026
Update your record
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