Provider Demographics
NPI:1972485027
Name:EL-KHATIB, RANNA (DMD)
Entity type:Individual
Prefix:
First Name:RANNA
Middle Name:
Last Name:EL-KHATIB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3979 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8619
Mailing Address - Country:US
Mailing Address - Phone:734-548-1607
Mailing Address - Fax:
Practice Address - Street 1:3602 W STERNS RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9578
Practice Address - Country:US
Practice Address - Phone:734-568-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016027681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice