Dalouk, Khidir Abdelmoneim Khidir

Dalouk, Khidir Abdelmoneim Khidir is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Dalouk, Khidir Abdelmoneim Khidir can be contacted via phone (503) 494-1775.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-1775
Fax: (503) 494-4749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57013968 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD151768 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD151768 Oregon
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD151768 Oregon

Profile Details

NPI number 1386823987
LBN Legal business name Dalouk, Khidir Abdelmoneim Khidir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Dec 16th, 2022 - about 2 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 1386823987 NPPES
Oregon MEDICAID 500640706

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