Elbatta, Mohammad Adnan

Elbatta, Mohammad Adnan is an individual health care provider with primary practice located at 17400 Irvine Blvd Ste F , Tustin CA 92780-3030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Elbatta, Mohammad Adnan can be contacted via phone (714) 937-9400.

Contact Information

Primary practice address
17400 Irvine Blvd Ste F Tustin CA 92780-3030
Phone: (714) 937-9400
Fax: (714) 937-9404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A162124 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35133929 Ohio

Profile Details

NPI number 1316204894
LBN Legal business name Elbatta, Mohammad Adnan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Jan 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316204894 NPPES
Ohio MEDICAID 0299053
Ohio MEDICAID 3025372

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