Abdurrahman Khattab
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulsa, OK
NPI 1710604145 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1710604145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5020 S 72ND East Ave
Tulsa, OK 74145-6805 - Phone
- (918) 688-1045
- NPI assigned
- Oct 26, 2022
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5020 S 72ND East Ave
Tulsa, OK 74145-6805
Mailing address
5020 S 72ND East Ave
Tulsa, OK 74145-6805
Other providers in Tulsa, OK
- Khadija Rasheed Khan
- Omar Khan
- Saad Khan
- Taimoor Khan
- Zeeshaan Khan
- Ahmad Khattab
- Jihad Khattab
- Mohamad H Khattab
- Danish Kherani
- Aleena Khichi
All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. 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.