Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 11577 | TN |
NPI | 1366115958 |
---|---|
Provider Name | Dr. Zaid H Khoury |
First Address | Nashville, TN 37208-3599 |
Second Address | Nashville, TN 37208-3599 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2021 |
Last Update Date | 29/07/2021 |