Ishraq Abdullah Alkibsi, AU.D.
Individual provider Active NPI Audiologist · Rockville, MD
NPI 1336799378 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1336799378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 01501 (MD)
- Practice address
- 11300 Rockville Pike Ste 105
Rockville, MD 20852-3042 - Phone
- (240) 477-1010
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01501 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Audiology LLC | Audiologist | Current |
Accepting new patients |
Locations
11300 Rockville Pike
Ste 105
Rockville, MD 20852
Phone (240) 477-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01501 | MD | Yes |
Addresses
Primary practice location
11300 Rockville Pike Ste 105
Rockville, MD 20852-3042
Mailing address
7001 Arlington Rd Apt 525
Bethesda, MD 20814-5492
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.