National Provider Identifier
Ahmed Khattab, MD
Ahmed Khattab, MD is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician in Orchard Park, NY and a listed phone number of (716) 674-3104.
Profile Overview
- NPI
- 1609309749
- Provider Type
- Individual
- Primary Specialty
- Hematology & Oncology Physician
- Enumeration Date
- April 05, 2017
- Last Updated
- February 05, 2025
Practice Location
- 3041 Orchard Park RD Ste C
- Orchard Park, NY 14127-1238
Phone: (716) 674-3104
Mailing Address
- 3041 Orchard Park RD
- Ste C
- Orchard Park, NY 14127-1238
Specialties
- Hematology & Oncology Physician (207RH0003X)
- Hematology & Oncology Physician (207RH0003X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1609309749
- Entity Type
- Individual
- Last Name
- Khattab
- First Name
- Ahmed
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 3041 Orchard Park RD
- Mailing Address Line 2
- Ste C
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1238
- Mailing Country
- US
- Mailing Phone
- (716) 674-3104
- Mailing Fax
- (716) 674-0666
- Practice Street Address
- 3041 Orchard Park RD Ste C
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1238
- Practice Country
- US
- Practice Phone
- (716) 674-3104
- Practice Fax
- (716) 674-0666
- Enumeration Date
- April 05, 2017
- Last Updated
- February 05, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hematology & Oncology Physician (207RH0003X), Hematology & Oncology Physician (207RH0003X), Internal Medicine Physician (207R00000X)