GEORGE KHOUDARI MD NPI 1578978995

NPI Information

  • NPI: 1578978995
  • Provider Name: GEORGE KHOUDARI, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10050 SW INNOVATION WAY
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (772) 223-5945

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NPI Details

George Khoudari, MD is a gastroenterology internal medicine in Port St Lucie, FL with 14 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. George Khoudari, MD NPI is 1578978995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10050 SW INNOVATION WAY
PORT ST LUCIE, FL
ZIP 34987-117
Phone: (772) 223-5945
Fax: (772) 345-5365

The NPI 1578978995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 7/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine35.131927OHIONo
2207RG0100XInternal MedicineGastroenterologyME168343FLORIDAYes

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: 11/21/2025

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