HANI SHABAN ALKHATIB (NPI# 1750372900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750372900 |
| Entity Type | Individual |
| Full Name | HANI SHABAN ALKHATIB |
| Credential | MB, BCH |
| Practice Address |
1900 Centracare Cir, #1600 Centracare Clinic Health Plaza Specialty/oncology St Cloud MN 56303 |
| Practice Telephone | 3202294907 |
| Practice Fax Number | 3202295160 |
| Mailing Telephone | 3202294907 |
| Mailing Fax Number | 3202295160 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2010-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
34615 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED ONE | 1001406 | 01 | |
| MEDICA HEALTH PLANS | 3600190 | 01 | |
| MEDICARE | 830000282 | 01 | |
| MEDICAL ASSISTANCE | 009517600 | 01 | |
| FIRST HEALTH PLAN | 2129263 | 01 | |
| MN | 009517600 | 05 | |
| BLUE CROSS BLUE SHIELD | 05T20AL | 01 | |
| ARAZ GRP AMERICA'S PPO | 20111 | 01 | |
| BLUE CROSS BLUE SHIELD | 499R1KH | 01 | |
| U CARE | 112085 | 01 | |
| RR MEDICARE | 900000917 | 01 | |
| HEALTH PARTNERS | HP27008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699116491 | Hani Alkhatib | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 7th Floor, (07-022), Baltimore, MD 21201-1642 | 2013-07-10 |
| Street Address |
1900 CENTRACARE CIR, #1600 CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/ONCOLOGY |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902855109 | Dahlia Hosni Elkadi | Internal Medicine | 1900 Centracare Cir, #1600, Centracare Clinic Health Plaza Specialty, St Cloud, MN 56303-5000 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
| 1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
| 1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
| 1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| 1093760290 | Girum L Lemma | Internal Medicine | 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
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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.