Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mohannad Hussam Al-Khateeb, MD

Individual provider Internal Medicine Physician · NPI 1720690555

Mohannad Hussam Al-Khateeb, MD is registered under Pulmonary Disease in Evansville, Indiana. Qualified in 2017, 9 years ago. Works from 3 locations. Licensed in Indiana, Kentucky and New Jersey.

Years since qualifying
9
Licensed in
IN, KY, NJ
In the registry since
2020
Specialties on file
4
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

519 Harriet St
Evansville, IN 47710-1715
Phone: (812) 450-7720
Fax: (812) 450-7730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4015 Gateway Blvd Ste 2121, Newburgh, IN 47630-8925 — (812) 450-7720
  • 1413 N Elm St, Henderson, KY 42420-2768 — (270) 561-0202

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12603400 (NJ)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 01099388A (IN)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 61915 (KY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 25MA12603400 (NJ)

Record details

NPI number1720690555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in Evansville