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MR. OMAR KHATIB MD
NPI 1417895764
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Active since March 24, 2026
18701 N 67TH AVE, GLENDALE, AZ 85308(623) 561-1000 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Omar Khatib Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OMAR KHATIB MD (NPI 1417895764) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1417895764
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. OMAR KHATIBCredential: MD
Location Address18701 N 67TH AVEGlendale, AZ 85308-7100
Mailing Address442 E Greenway DrTempe, AZ 85282-6939 · (480) 321-7212
Phone(623) 561-1000
Sole ProprietorYes
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1417895764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18701 N 67TH AVE, Glendale, AZ 85308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH VEIGA DO
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
ANA LILIA NAVA CAMPOS RN
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
MS. TERREN COURTNEY WORTHAM DNP, CRNA
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
VEIGA MEDICAL PLLC
Internal Medicine (Infectious Disease)
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
JUAN N ALIAGA DNP, APRN-CRNA
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
GENERAL AND ROBOTIC SURGERY LLC
Surgery
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 561-1000
NIKITA NALAM DO
Hospitalist
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (877) 934-9355
DR. RAJ SHAH
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Maricopa County (844) 422-7296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Khatib's NPI number?

The NPI number for Omar Khatib is 1417895764. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Omar Khatib located?

Omar Khatib practices at 18701 N 67th Ave, Glendale, AZ 85308. The listed phone number is (623) 561-1000.

What is Omar Khatib's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Omar Khatib was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.