Individual
ABDURRAHMAN KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5020 S 72ND EAST AVE, TULSA, OK 74145-6805
(918) 688-1045
Mailing address
5020 S 72ND EAST AVE, TULSA, OK 74145-6805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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