Healthcare Provider Details

I. General information

NPI: 1285627430
Provider Name (Legal Business Name): ALLERGY INSTITUTE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WESTOWN PKWY STE 107
WEST DES MOINES IA
50265-1540
US

IV. Provider business mailing address

2001 WESTOWN PKWY STE 107
WEST DES MOINES IA
50265-1540
US

V. Phone/Fax

Practice location:
  • Phone: 515-223-8622
  • Fax: 515-223-5324
Mailing address:
  • Phone: 515-223-8622
  • Fax: 515-223-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: FADI H ALKHATIB
Title or Position: OWNER
Credential: DO
Phone: 515-223-8622