Individual
MOHANNAD HUSSAM AL-KHATEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
519 HARRIET ST, EVANSVILLE, IN 47710-1715
(812) 450-7720
(812) 450-7730
Mailing address
PO BOX 632281, CINCINNATI, OH 45263-2281
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01099388A
IN
207RP1001X
Pulmonary Disease Physician
61915
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
05/28/2026
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