Khamousia, Nidaa

Khamousia, Nidaa is an individual health care provider with primary practice located at 6450 Wheatstone Ct , Maumee OH 43537-9402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khamousia, Nidaa can be contacted via phone (419) 866-6200.

Contact Information

Primary practice address
6450 Wheatstone Ct Maumee OH 43537-9402
Fax: (419) 866-7170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35087356 Ohio

Profile Details

NPI number 1184687014
LBN Legal business name Khamousia, Nidaa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 9th, 2016 - about 8 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 1184687014 NPPES
Ohio MEDICAID 2633396

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