Mahmoud Khattab MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A97693 Issued in CA

Legal business name

MAHMOUD KHATTAB MD INC

Practice address

9390 Big Horn Blvd
Suite 145
Elk Grove, CA 95758-7978

Phone

(916) 691-6666

Fax

(916) 691-6668

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mahmoud Khattab, MD

Title

President

Phone

(916) 691-6666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1164720363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 BIG HORN BLVD",
            "address_2": "SUITE 145",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587978",
            "telephone_number": "916-691-6666",
            "fax_number": "916-691-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 BIG HORN BLVD",
            "address_2": "SUITE 145",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587978",
            "telephone_number": "916-691-6666",
            "fax_number": "916-691-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOUD KHATTAB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-691-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie Magdaleno, COTA
• Erik Julian Carpio Magdales
• Vicky Magobet, PMHNP-BC
• Sheena Maharaj, MSC/MFT
• Amar Mahdi, DDS
• Miriam Mahmoud
• Andrew Huy Mai
• Reshmi Lata Maiki, LVN
• Alison Nicole Main, D.C.
• Shugufa Majid

• Internal Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.