HIMAD ULLAH KHAN KHATTAK (NPI# 1265691364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265691364 |
| Entity Type | Individual |
| Full Name | HIMAD ULLAH KHAN KHATTAK |
| Credential | MD |
| Practice Address |
103 Mcknight Dr Ste A Middletown OH 45044-4891 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 5132176400 |
| Practice Fax Number | 5132176037 |
| Mailing Telephone | 9379913191 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35123560 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2008014651 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.123560 | OH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2008014651 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0119424 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Southern Blvd, Kettering, OH 454291221 | 9372984331 |
| Street Address |
103 MCKNIGHT DR STE A |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-4891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316466105 | Julie Elizabeth Flick | Nurse Practitioner | 103 Mcknight Dr Ste A, Middletown, OH 45044-4891 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952452021 | Cardiology South | Internal Medicine | 38 N Breiel Blvd, Middletown, OH 45042-3804 | 2007-01-16 |
| 1083783559 | Valley Cardiovascular Associates, P.C. | Internal Medicine | 75 Crystal Run Road, Orange Regional Medical Pavilion Suite 100, Middletown, NY 10941 | 2006-11-07 |
| 1568576452 | Arthur V Mcdowell | Internal Medicine | 520 Saybrook Road, Middlesex Cardiology Associates, Middletown, CT 06457 | 2006-08-18 |
| 1912917089 | Middlesex Cardiology Associates, PC | Internal Medicine | 420 Saybrook Rd, Middletown, CT 06457 | 2006-08-09 |
| 1568482677 | Walter H. Roehll | Internal Medicine | 1006 N University Blvd, Middletown, OH 45042-3300 | 2006-07-20 |
| 1750345948 | Cardiology Diagnostic Associates, LLC | Internal Medicine | 659 Spring Garden Dr, Middletown, PA 17057-3033 | 2006-04-14 |
| 1881681187 | Mojca Lorbar | Internal Medicine | 420 Saybrook Road, Suite A, Middlesex Cardiology Associates, Middletown, CT 06450 | 2005-10-02 |
| 1154325827 | Robert H Schwengel | Internal Medicine | 676 Aquidneck Ave, Middletown, RI 02842-5795 | 2005-06-09 |
| 1952303133 | Mohammad Atiq Khalid | Internal Medicine | 103 Mcknight Dr, Suite A, Middletown, OH 45044-4890 | 2005-06-01 |
| 1164425435 | Joseph Clemente | Internal Medicine | 1270 Highway 35, Middletown, NJ 07748 | 2005-05-31 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on HIMAD ULLAH KHAN KHATTAK.
| 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.