MARY LEROY KHOWASSAH MD NPI 1740276096

NPI Information

NPI: 1740276096
Provider Name: MARY LEROY KHOWASSAH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
4189 WESTLAWN S
UNIVERSITY OF IOWA STUDENT HEALTH SERVICES
IOWA CITY, IA
ZIP 52242
Phone: (319) 335-8370
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Mary Leroy Khowassah, MD is a general practice in Iowa City, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mary Leroy Khowassah, MD NPI is 1740276096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4189 WESTLAWN S
UNIVERSITY OF IOWA STUDENT HEALTH SERVICES
IOWA CITY, IA
ZIP 52242-100
Phone: (319) 335-8370
Fax: (319) 335-7247

The enumeration date for this NPI number is 9/22/2005 and was last updated on 9/28/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		17924	IOWA	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E73925	MEDICARE UPIN
2	0089722	MEDICAID	IOWA
3	08972	OTHER	IOWA	WELLMARK BCBS
4	08972	MEDICARE PIN	IOWA

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

NPI Synchronization or Removal

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