Healthcare Provider Details

I. General information

NPI: 1245167568
Provider Name (Legal Business Name): KHALED ALKHATIB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E. UNIVERSITY PARKWAY DEPT OF INTERNAL MEDICINE
BALTIMORE MD
21218
US

IV. Provider business mailing address

201 E. UNIVERSITY PARKWAY DEPT OF INTERNAL MEDICINE
BALTIMORE MD
21218
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-2284
  • Fax: 410-554-2184
Mailing address:
  • Phone: 410-554-2284
  • Fax: 410-554-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: