Mahdi Al Ikhwan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AT-1823194 Issued in NY

Practice address

1276 Fulton Ave
4TH Floor Family Medicine
Bronx, NY 10456-3402

Phone

(718) 901-8297

NPI assigned

Jun 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: malikhwan18545@uihealth.direct-ci.com

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1720439417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD",
            "address_2": "APT 4X",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "4TH FLOOR FAMILY MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL IKHWAN",
        "first_name": "MAHDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "AT-1823194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Al Ali, PHARMD
• Mina Al Azawi, DMD
• Yahya Zakarya Al Barati, RPH
• Abdel Aziz Al Bawab, M.D.
• Basil Neda Bahjat Al Ekeer, MD
• Reyad Al Jabiri, M.D.
• Rafla Zaid Ali Al Kayyali
• Mouhamad Al Moussawy, MD
• Akram Hamed Al Nababteh, M.D.
• Noor Al Radi, M.S. CCC-SLP

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.