Individual
DR. MOEMEN AHMED KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 712-8679
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
197267
CA
207R00000X
Internal Medicine Physician
Primary
4301513683
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
08/07/2025
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