Koutouby, Raghad

Koutouby, Raghad is an individual health care provider with primary practice located at 8525 Sw 92Nd St Ste C11A , Miami FL 33156-7386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Koutouby, Raghad can be contacted via phone (305) 512-3345.

Contact Information

Primary practice address
8525 Sw 92Nd St Ste C11A Miami FL 33156-7386
Fax: (844) 323-3689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME0055947 Florida

Profile Details

NPI number 1043259468
LBN Legal business name Koutouby, Raghad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 3rd, 2020 - about 4 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 1043259468 NPPES
Florida MEDICAID 373857400

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