Individual
MONA KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 901-8484
Mailing address
15 67TH ST, APT.2, WEST NEW YORK, NJ 07093-4307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P8145
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2008
Last updated
04/07/2014
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