DR. ISAM HANNA KHOURY D.M.D. NPI 1801952239

NPI Information

DR. Isam Hanna Khoury, D.M.D. is an oral and maxillofacial surgery dentist in Daly City, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Isam Hanna Khoury, D.M.D. NPI is 1801952239. 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:

1500 SOUTHGATE AVE
#103
DALY CITY, CA
ZIP 94015-259
Phone: (650) 991-0999
Fax: (650) 991-0918

The NPI 1801952239 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).

The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/8/2007.

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:

Other Identifiers

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

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