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NPI Code Detail

MEDICARE: ABDULMUHAIMIN ASLAM KHATIB DO

MEDICARE: ABDULMUHAIMIN ASLAM KHATIB DO
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
1207R00000XInternal Medicine PhysicianCLP06989RI

General Provider Information

NPI Number : 1407797186
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULMUHAIMIN ASLAM KHATIB DO
Provider Business Mailing Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-737-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2026
Last Update Date : 06/17/2026

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