Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 696 | WI |
Y | 2084N0400X | Neurologist | DR.0063537 | CO |
NPI | 1023495413 |
---|---|
Provider Name | Dr. Abdurahman Said Elkhetali |
First Address | Birmingham, AL 35216-6123 |
Second Address | Colorado Springs, CO 80909-5533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2015 |
Last Update Date | 01/05/2020 |