Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AHMAD ITANI, MBBCH.
DeactivatedAHMAD ITANI, MBBCH. is a Critical Care Medicine healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1902284789 is deactivated in the NPPES registry. Verify at CMS.
Critical Care Medicine · ALBUQUERQUE, NM
This NPI has been deactivated.
The record was deactivated on December 21, 2015.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902284789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2015 (0.60928961748634 yrs)
- Last Updated
- Jul 10, 2024
- Deactivated
- Dec 21, 2015
- License
-
MD2024-0310 (NM)
Practice Information
- Address
-
1100 CENTRAL AVE SEPHS PROVIDER ENROLLMENTALBUQUERQUE, NM, 87106Browse NM providers · Browse ZIP 87106
- Phone
- 5057246124
- Primary Specialty
-
Critical Care Medicine
207RC0200X
Other Critical Care Medicine Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DENISE GONZALES | MD | 1326043415 |
| DR. HAROLD LAWRENCE GROFF | M.D. | 1295706331 |
| MICHEL A BOIVIN | MD | 1245255835 |
| STACI A LOGUE | PA-C | 1922014646 |
| SUSANNA MARIE GONZALES | MD | 1992899371 |
| ERIK P. KRAAI | M.D. | 1376693655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.