Sorour, Khaled A

Sorour, Khaled A is an individual health care provider with primary practice located at 680 Centre St Anesthetics Of Brockton, Pc, Brockton MA 02302-3308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Sorour, Khaled A can be contacted via phone (508) 941-7656.

Contact Information

Primary practice address
680 Centre St Anesthetics Of Brockton, Pc Brockton MA 02302-3308
Phone: (508) 941-7656
Fax: (508) 941-6345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD10810 Rhode Island
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 208679 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 208679 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD10810 Rhode Island

Profile Details

NPI number 1508823717
LBN Legal business name Sorour, Khaled A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 11th, 2023 - about last year

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 1508823717 NPPES
Massachusetts MEDICAID 110037805A

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