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WISSAM KHOURY DPM LLC NPI 1295064343


NPI Information

NPI: 1295064343
Provider Name: WISSAM KHOURY DPM LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2351 E 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 367-9444
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WISSAM KHOURY DPM LLC is a podiatrist in Cleveland, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. WISSAM KHOURY DPM LLC NPI is 1295064343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2351 E 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 367-9444
Fax: (216) 453-0331

The provider's authorized official is Wissam Khoury .
The authorized official title is Owner and has the following contact phone number (216) 921-3668.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 3/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36003289OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19387221MEDICARE PINOHIO
26427420001MEDICARE NSCOHIO
33052468MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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