Amer Ahmad Alkhatib, MD
Individual provider Active NPI Gastroenterology Physician · Tulsa, OK
NPI 1487740296 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1487740296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 29020 (OK)
- Practice address
- 10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564 - Phone
- (918) 286-5000
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046051 | WA | MD | Internal Medicine Physician |
| 44370 | AZ | MD | Gastroenterology Physician |
| 29020 | OK | MD | Gastroenterology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00046051 | WA | |
| Gastroenterology Physician | 207RG0100X | 44370 | AZ | |
| Gastroenterology Physician | 207RG0100X | 29020 | OK | Yes |
Addresses
Primary practice location
10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564
Mailing address
10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564
Phone (918) 286-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G000362000 | Other | WA | MEDICARE GROUP |
| 615484 | Medicaid | AZ | |
| 8470312 | Medicaid | WA | |
| P00395875 | Other | WA | RAILROAD MEDICARE |
Other providers in Tulsa, OK
- Lamiaa Hassan Ali
- Rabia Ali
- Rachelle Lynn Ali
- Lourdes Sofia Aliaga
- Qaidar Alizai
- All Saints Home Medical LLC
- All Saints Home Medical LLC
- All Saints Home Medical LLC
- All Saints Home Medical LLC
- All Saints Home Medical LLC
All providers in Tulsa, OK · Gastroenterology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. 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.