Individual
DR. AHMED KHATTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3041 ORCHARD PARK RD STE C, ORCHARD PARK, NY 14127-1238
(716) 674-3104
(716) 674-0666
Mailing address
3041 ORCHARD PARK RD, STE C, ORCHARD PARK, NY 14127-1238
(716) 674-3104
(716) 674-0666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
322330
NY
207R00000X
Internal Medicine Physician
MD475496
PA
207RH0003X
Hematology & Oncology Physician
322330
NY
207RH0003X
Hematology & Oncology Physician
Primary
MD475496
PA
Other
Enumeration date
04/05/2017
Last updated
02/05/2025
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