Provider Demographics
NPI:1902195183
Name:KHATEEB, DINA M (DO)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:M
Last Name:KHATEEB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 STATE RD STE 1840
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1812
Mailing Address - Country:US
Mailing Address - Phone:223-287-8170
Mailing Address - Fax:717-312-3149
Practice Address - Street 1:2160 STATE RD STE 1840
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1812
Practice Address - Country:US
Practice Address - Phone:223-287-8170
Practice Address - Fax:717-312-3149
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017767207R00000X, 207RC0200X, 207RH0002X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine