Provider Demographics
NPI:1548365802
Name:EL-KADI, MATT (MD)
Entity type:Individual
Prefix:
First Name:MATT
Middle Name:
Last Name:EL-KADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HIKMAT
Other - Middle Name:
Other - Last Name:EL-KADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:600 OXFORD DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2355
Mailing Address - Country:US
Mailing Address - Phone:724-720-4599
Mailing Address - Fax:724-720-4598
Practice Address - Street 1:600 OXFORD DR STE 210
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2355
Practice Address - Country:US
Practice Address - Phone:724-720-4599
Practice Address - Fax:724-720-4598
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067048L207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVEL0858522Medicare PIN
PA026538D9CMedicare PIN