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WISSAM KHOORY MDPC NPI 1205008141


NPI Information

NPI: 1205008141
Provider Name: WISSAM KHOORY, MD,PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
20 HOPE AVE
SUITE G03
WALTHAM, MA
ZIP 02453
Phone: (781) 893-4490
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WISSAM KHOORY, MD,PC is an internal medicine in Waltham, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WISSAM KHOORY, MD,PC NPI is 1205008141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 HOPE AVE
SUITE G03
WALTHAM, MA
ZIP 02453-721
Phone: (781) 893-4490
Fax: (781) 893-1030

The provider's authorized official is Michelle Cormier .
The authorized official title is Secretary and has the following contact phone number (781) 893-4490.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.


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
1207R00000XInternal Medicine153969MASSACHUSETTSYes

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
1J18529OTHERBLUE CROSS

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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