Stephan, Michel Khamis

Stephan, Michel Khamis is an sole proprietor health care provider with primary practice located at 2540 Nth Galloway Avenue 101, Mesquite TX 75150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stephan, Michel Khamis can be contacted via phone (972) 226-0405.

Contact Information

Primary practice address
2540 Nth Galloway Avenue 101 Mesquite TX 75150
Fax: (972) 270-4959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X F8687 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X F8687 Texas

Profile Details

NPI number 1912966938
LBN Legal business name Stephan, Michel Khamis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Oct 3rd, 2013 - about 12 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 1912966938 NPPES
Texas MEDICAID 123330601

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