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KHOURY SURGICAL GROUP INC. NPI 1104025972


NPI Information

NPI: 1104025972
Provider Name: KHOURY SURGICAL GROUP, INC.

Doing Business As: VASCULAR LAB

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
51339 NATIONAL RD
SAINT CLAIRSVILLE, OH
ZIP 43950
Phone: (304) 233-2455
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KHOURY SURGICAL GROUP, INC. is a thoracic surgery cardiothoracic vascular surgery in Saint Clairsville, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. KHOURY SURGICAL GROUP, INC. NPI is 1104025972. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vascular Lab.

The provider's business location address is:

51339 NATIONAL RD
SAINT CLAIRSVILLE, OH
ZIP 43950-119
Phone: (304) 233-2455
Fax: (304) 233-6073

The provider's authorized official is Rajai T Khoury .
The authorized official title is President and has the following contact phone number (304) 233-2455.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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
19366251MEDICARE PINOHIO
29347723MEDICARE PINWEST VIRGINIA

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: 11/14/2023

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