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Muhanad Al Khatib

NPI 1578292272 · on the registry since 2022

Practice

Address
6060 Lute Rd
Portage, IN 46368
Phone
(219) 762-3842
Clinicians at this address
2

Additional practice sites

  • 3502 E State St, Rockford, IL

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana