Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD27000 | OR |
NPI | 1013933480 |
---|---|
Provider Name | Dr. Firas George Khoury |
First Address | Chandler, AZ 85225-8720 |
Second Address | Tigard, OR 97224-7966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 09/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H96878 | (02) | OR |