Khaled Khaled Abdel Aziz Jr.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cincinnati, OH
NPI 1730949041 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1730949041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3188 Bellevue Ave
ML 0781
Cincinnati, OH 45219 - Phone
- (513) 584-4505
- Fax
- (513) 584-0468
- NPI assigned
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105002571 | OH | Order and Referring Only - Internal Medicine |
8921532557 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3188 Bellevue Ave
ML 0781
Cincinnati, OH 45219
Mailing address
3188 Bellevue Ave
ML 0781
Cincinnati, OH 45219
Phone (513) 584-4505
Other providers in Cincinnati, OH
- Carol Jean Abbott
- Emma Abbott
- Kristen Lynn Abbott
- Susan Brinkman Abbott
- Charles W Abbottsmith
- Mohamed Abdelaziz Elsayed El Abdelaziz
- Ahmed Abdelhaleem
- Donna Abdelnour
- Lamiaa Mohamed Ibrahim Abdelrehim
- Mohannad Gamal Ahmed Abdeltawwab
All providers in Cincinnati, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.