Provider Demographics
NPI:1124318555
Name:ELKATTAH, REMI
Entity type:Individual
Prefix:
First Name:REMI
Middle Name:
Last Name:ELKATTAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MKALLES ROUNDABOUT NEAR DEBBAS COMPANY
Mailing Address - Street 2:RIZKALLAH STREET RIZKALLAH BUILDING
Mailing Address - City:BEIRUT
Mailing Address - State:XX
Mailing Address - Zip Code:XX
Mailing Address - Country:LB
Mailing Address - Phone:961-371-7396
Mailing Address - Fax:
Practice Address - Street 1:MKALLES ROUNDABOUT NEAR DEBBAS COMPANY
Practice Address - Street 2:RIZKALLAH STREET RIZKALLAH BUILDING
Practice Address - City:BEIRUT
Practice Address - State:XX
Practice Address - Zip Code:XX
Practice Address - Country:LB
Practice Address - Phone:961-371-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZXX122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist