Hassan Alkhatib MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HASSAN ALKHATIB MD PA

Practice address

2055 S Atlantic Ave Apt 1103
Daytona Beach Shores, FL 32118-5030

Phone

(330) 766-0682

Fax

(888) 959-0682

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hassan Alkhatib, M.D.

Title

President

Phone

(330) 766-0682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1699176529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S ATLANTIC AVE APT 1103",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185030",
            "telephone_number": "330-766-0682",
            "fax_number": "888-959-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S ATLANTIC AVE APT 1103",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185030",
            "telephone_number": "330-766-0682",
            "fax_number": "888-959-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAN ALKHATIB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "ALKHATIB",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-766-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gaughan, M,D.
• Gerald R Woodard DO PA (Shores Medical Center)
• Gerald R Woodard DO PA (Shores Medical Center Daytona)
• Lauren A Girard, DO
• Jamera F Givens
• Heritage Waterside
• Alesen Hernandez
• Holiday CVS LLC (CVS Pharmacy 03614)
• Dolores Slavin Holleman, CME
• Inner Riches Osteopathic Medical Associates Inc

• Internal Medicine Physician in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.