Individual
AHMAD AL-KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 SE 28TH ST STE 5, BENTONVILLE, AR 72712-4294
(479) 254-9761
(479) 254-9762
Mailing address
811 SE 28TH ST STE 5, BENTONVILLE, AR 72712-4294
(479) 254-9761
(479) 254-9732
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35078468A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198168
ANTHEM
OH
05
—
2227861
—
OH
Enumeration date
08/14/2006
Last updated
06/04/2008
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