Individual provider · Type 1 NPI

Omar Mohamed Walid Ahmed Aboukhatwa, MD

Student in an Organized Health Care Education/Training Program · Elmhurst, NY

NPI number 1891599320 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891599320

Omar Mohamed Walid Ahmed Aboukhatwa, MD's National Provider Identifier is 1891599320, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmhurst, NY. The record was last updated on Apr 3, 2025.