Basic Information
| Provider Information | |||||||||
| NPI: | 1710957162 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EL-KHATIB | ||||||||
| FirstName: | HAZEM | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 320 E NORTH AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123598820 | ||||||||
| FaxNumber: | 4123598222 | ||||||||
| Practice Location | |||||||||
| Address1: | 320 E NORTH AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152124756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123598820 | ||||||||
| FaxNumber: | 4123598222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2006 | ||||||||
| LastUpdateDate: | 06/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 06/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | MD065809L | PA | N | Other Service Providers | Specialist | 208G00000X | MD065809L | PA | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 1506097 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 202393 | 01 | PA | INTERGROUP | OTHER | 277005 | 01 | PA | FEDERAL BLACK LUNG | OTHER | 60051973 | 01 | PA | UNITED HEALTHCARE | OTHER | 205863 | 01 | PA | UPMC HEALTH PLANS | OTHER | 96660 | 01 | PA | THREE RIVERS HEALTH PLAN | OTHER | 379634 | 01 | PA | HIGHMARK/KEYSTONE | OTHER | 202393 | 01 | PA | BEST HEALTH | OTHER | 60051973 | 01 | PA | MEDICARE RAILROAD | OTHER | G78624 | 01 | PA | HEALTH AMERICA/ASSURANCE | OTHER | 0017355000001 | 05 | PA | MEDICAID |