MEDICARE: DR. AHMED AL-KATIB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	310649	NY

General Provider Information

NPI Number	:	1235651944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED AL-KATIB MD

Provider Business Mailing Address
First Line	:	134 BROADWAY FL 4
Second Line	:	OFFICE 5
City	:	BROOKYLN
State	:	NY
Zip	:	11249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 BROADWAY FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-6233
Country	:	US
Telephone Number	:	646-427-3434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	02/03/2026

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