Khoukaz Internal Medicine, Llc

LBN: Khoukaz Internal Medicine, Llc
Khoukaz Internal Medicine, Llc is an health care organization with primary practice located at 3915 Watson Rd Suite 100, Saint Louis MO 63109-1251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Khoukaz Internal Medicine, Llc can be contacted via phone (314) 646-0478, or through Khoukaz, Ghassan via phone (314) 577-5778.

Contact Information

Primary practice address
3915 Watson Rd Suite 100 Saint Louis MO 63109-1251
Fax: (314) 646-0698
Website:
Authorized official contact:
Name: Khoukaz, Ghassan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005005178 Missouri

Profile Details

NPI number 1871565804
LBN Legal business name Khoukaz Internal Medicine, Llc
DBA Doing business as
Authorized official Khoukaz, Ghassan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871565804 NPPES
Missouri Other DF6432 RR MEDICARE GROUP#

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