Provider Demographics
NPI:1629521224
Name:ABOUKHEIR ABOUKHEIR, AIHAB (MD)
Entity type:Individual
Prefix:
First Name:AIHAB
Middle Name:
Last Name:ABOUKHEIR ABOUKHEIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 FORBES AVE APT 709
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1680
Mailing Address - Country:US
Mailing Address - Phone:787-202-1781
Mailing Address - Fax:
Practice Address - Street 1:5200 CENTRE AVE STE 715
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1327
Practice Address - Country:US
Practice Address - Phone:412-692-4458
Practice Address - Fax:412-623-2822
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD484715390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty