Al-Khouri, Haisam

Al-Khouri, Haisam is an individual health care provider with primary practice located at 2316 Nw 23Rd St , Oklahoma City OK 73107-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Al-Khouri, Haisam can be contacted via phone (405) 525-3330.

Contact Information

Primary practice address
2316 Nw 23Rd St Oklahoma City OK 73107-2406
Phone: (405) 525-3330
Fax: (405) 525-3360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18417 Oklahoma

Profile Details

NPI number 1558318030
LBN Legal business name Al-Khouri, Haisam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 1st, 2013 - about 11 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 1558318030 NPPES
Oklahoma MEDICAID 100223830

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