IHSAN AL-KHALIL (NPI# 1033185608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033185608 |
| Entity Type | Individual |
| Full Name | IHSAN AL-KHALIL |
| Credential | MD |
| Practice Address |
3601 4th St Lubbock TX 79430-0002 |
| Practice Telephone | 8067770183 |
| Mailing Telephone | 8067770183 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
J0420 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | J0420 | 05 |
| Street Address |
3601 4TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516993 | Viviane Mamlok | Pathology | 3601 4th St, 1a115, Lubbock, TX 79430-0002 | 2005-05-24 |
| 1104436252 | Kanak N/a Parmar | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-08-04 |
| 1407465115 | Donald Wayne King Jr. | Nurse Anesthetist, Certified Registered | 3601 4th St, Lubbock, TX 79430-0002 | 2020-07-28 |
| 1588288674 | Hillary Powers | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-03 |
| 1215551692 | Amanda R Edinger | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-02 |
| 1487278966 | Daniel Elling Brown | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-6211 | 2020-06-01 |
| 1588288013 | Fabiana Monte Alegre Olmos Fernandez | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1154945574 | Alex Wilkins | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1720602253 | Amanda Lee Huggett | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1609490192 | Zeyad Saeed Amr Elharabi | Student in an Organized Health Care Education/Training Program | 3601 4th St, Department of Internal Medicine, Lubbock, TX 79430-0002 | 2020-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952523458 | Chibuzo C. O'suoji | Pediatrics | 602 Indiana Ave, Lubbock, TX 79415 | 2007-05-03 |
| 1013947043 | Latha Prasannan | Pediatrics | 4102 24th St, Ste 201, Lubbock, TX 79410-1806 | 2006-07-04 |
| 1548241722 | Melanie G. Oblender | Pediatrics | 3615 19th St, W322, Lubbock, TX 79410-1203 | 2005-11-07 |
| 1578554184 | John Iacuone | Pediatrics | 6630 Quaker Ave, Suite I, Lubbock, TX 79413-5900 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437577111 | Ayten Cangir I | Pediatrics | 10 Summer Prt, Spring, TX 77381-4270 | 2014-03-31 |
| 1356776116 | Piti Techavichit | Pediatrics | 6701 Fannin Street Suit 1510, Texas Children's Hospital, Clinical Care Center, Houston, TX 77030 | 2013-09-11 |
| 1982049219 | Elizabeth Lynn Seashore | Pediatrics | 1102 Bates Ave Ste C750.01, Houston, TX 77030-2617 | 2013-04-30 |
| 1386088490 | Anil Pazhayattil George | Pediatrics | 1102 Bates Ave Ste 1630, Houston, TX 77030-2632 | 2013-04-18 |
| 1629322789 | Rosa Diaz | Pediatrics | 7676 Phoenix Dr Apt 1427, Houston, TX 77030-4724 | 2012-10-28 |
| 1871842278 | Pamela E Camacho | Pediatrics | 17580 Interstate 45 S Ste 450, The Woodlands, TX 77384-4964 | 2012-08-31 |
| 1437418167 | Taylor Olmsted Kim | Pediatrics | 1102 Bates Ave Ste C1025.06, Houston, TX 77030 | 2012-05-15 |
| 1316237332 | Alicia K Chang | Pediatrics | 1102 Bates Ave Ste 1025.06, Houston, TX 77030 | 2011-04-11 |
| 1629399092 | Tami Denise John | Pediatrics | 1615 Hermann Dr Unit 2209, Houston, TX 77004-7152 | 2010-06-18 |
| 1700118171 | Ricardo J Flores | Pediatrics | 6621 Fannin St # Cc142000, Clinical Care Center, Houston, TX 77030-2303 | 2010-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.