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OMAR ALKHATIB MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1992325773
Individual Registrant: OMAR ALKHATIB MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1710 HARRISON ST BATESVILLE, AR 72501-7303 US
Tel: 870-262-1200 Fax: --
Tel: 870-262-1200 Fax: --
Contact information for business:
709 GUARDBRIDGE CT BIRMINGHAM, AL 35242-6092 US
Tel: 317-690-8740 Fax: --
Tel: 317-690-8740 Fax: --
Registration Information:
NPI: 1992325773
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
