Organization Active NPI

Hussein E El-Khatib,MD,PLLC

  • Psychiatry Physician
  • S Charleston, WV
National Provider Identifier
1063669463
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17771 Issued in WV
Legal business name
HUSSEIN E EL-KHATIB,MD,PLLC
Practice address
401 Division St
Suite 204
S Charleston, WV 25309-1455
Phone
(304) 767-7850
Fax
(304) 767-7855
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hussein E El-Khatib, MDNPI 1932210762
Title
Physician
Phone
(304) 767-7850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 17771 WV Primary

Addresses

Primary practice location

401 Division St
Suite 204
S Charleston, WV 25309-1455

Mailing address

401 Division St
Suite 204
S Charleston, WV 25309-1455
Phone (304) 767-7850

Other identifiers 1

IdentifierTypeStateIssuer
0116193000MedicaidWV

National Provider Directory

National Provider Directory

Locations

401 Division St
Ste 204
South Charleston, WV 25309
Phone (304) 414-4841

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1063669463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "address_2": "SUITE 204",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-767-7850",
            "fax_number": "304-767-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "address_2": "SUITE 204",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-767-7850",
            "fax_number": "304-767-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSEIN E EL-KHATIB,MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "EL-KHATIB",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-767-7850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "17771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116193000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.