Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 17254 | NV |
Y | 207X00000X | Orthopaedic Surgeon | 24986 | WV |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A-147018 | CA |
NPI | 1750677795 |
---|---|
Provider Name | Karim Boukhemis |
First Address | Reno, NV 89503-4723 |
Second Address | Huntington, WV 25702-1236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 10/12/2018 |