Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Omar Khatib, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417895764

Mr. Omar Khatib, MD is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone: (623) 561-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417895764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address442 E Greenway Dr, Tempe, AZ 85282-6939

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