Healthcare Provider Details

I. General information

NPI: 1386709970
Provider Name (Legal Business Name): ABBAS YOUSEF EL-KHATIB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 NORTHPORT AVE STE 106
BELFAST ME
04915-6002
US

IV. Provider business mailing address

125 NORTHPORT AVE STE 106
BELFAST ME
04915-6002
US

V. Phone/Fax

Practice location:
  • Phone: 207-505-4080
  • Fax: 207-800-4338
Mailing address:
  • Phone: 207-505-4080
  • Fax: 207-800-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number17908
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD30345
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: