Abou Assi, Souheil Ghandour

Abou Assi, Souheil Ghandour is an individual health care provider with primary practice located at 6602 W Broad St Ste B , Richmond VA 23230-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Abou Assi, Souheil Ghandour can be contacted via phone (804) 285-8206.

Contact Information

Primary practice address
6602 W Broad St Ste B Richmond VA 23230-1702
Fax: (804) 288-6602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101058695 Virginia

Profile Details

NPI number 1023004710
LBN Legal business name Abou Assi, Souheil Ghandour
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 29th, 2021 - 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 1023004710 NPPES
Virginia MEDICAID 1100088459

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