Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 006607 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 006607 | NY |
NPI | 1336566025 |
---|---|
Provider Name | Amr El-Khashab |
First Address | Cypress, TX 77429 |
Second Address | Cypress, TX 77429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2014 |
Last Update Date | 08/02/2018 |