Dr. Khaled Almansoob, DDS
Dentist in Birmingham, AL. Individual provider (NPI-1).
NPI number1508433673
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1508433673
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khaled Almansoob
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D-006890-C1 | AL | Yes |
Practice location
2500 Center Point PkwyBirmingham, AL 35215-2552
Phone 205-854-7448
Mailing address
2500 Center Point PkwyBirmingham, AL 35215-2552
Phone 205-854-7448
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