AHMAD MAHMOUD ELKHATIB (NPI# 1780246587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780246587 |
| Entity Type | Individual |
| Full Name | AHMAD MAHMOUD ELKHATIB |
| Practice Address |
6245 Inkster Rd Garden City MI 48135-4001 |
| Practice Telephone | 7344584486 |
| Mailing Telephone | 7344584486 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5151014124 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
6245 INKSTER RD |
| City | GARDEN CITY |
| State | MI |
| Zip Code | 48135-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550174 | Garden City Hospital | General Acute Care Hospital | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2005-09-29 |
| 1275143273 | Miriam Amen | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-08-04 |
| 1447878558 | Aisha Kavumkal | General Practice | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-07-06 |
| 1437776085 | Kashif Khan | General Practice | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-30 |
| 1780201780 | Valentina Erminskaya | Family Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-25 |
| 1255957767 | Randeep James Hayer | Emergency Medicine | 6245 Inkster Rd, Gme Department, Garden City, MI 48135 | 2020-06-20 |
| 1861018475 | Taylor Graham | Psychiatry & Neurology | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-19 |
| 1558986414 | Lakshminarasa Raju Suraparaju | General Practice | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-16 |
| 1679198832 | Rebecca Pope | Occupational Therapist | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-13 |
| 1184249435 | Ryan Victor | Family Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1285125021 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd., Garden City, MI 48135 | 2018-05-29 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1033655196 | Smile Dental Pllc | Dentist | 28050 Ford Rd Suite D, Garden City, MI 48135 | 2017-01-13 |
| 1043667876 | Danielle M Spellman | Technician, Other | 832 Henry Ruff, Garden City, MI 48135 | 2016-05-23 |
| 1306202999 | Melissa Voydanoff | Technician, Other | 33412 Florence St., Garden City, MI 48135 | 2016-01-12 |
| 1679975098 | Kellee Renee Rutkowski | Technician, Other | 348 Radcliff, Novi, MI 48135 | 2014-09-17 |
| 1013357102 | Tim Kuo | Emergency Medicine | 6545 Inkster Road, Garden City, MI 48135 | 2013-07-03 |
| 1073837894 | Elite Transport, Inc | Non-emergency Medical Transport (VAN) | 27614 Ford Rd., Garden City, MI 48135 | 2010-03-23 |
| Find all providers in zip 48135 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337977 | Gihan Yaafar Beydoun | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2018-05-19 |
| 1598976656 | Monica Miyuki Yamada-oklin | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2007-05-24 |
| 1386685469 | Michael Yangouyian | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2006-06-09 |
| 1275574824 | Kevin Durell | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 48135 |
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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.