Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME147506 | FL |
NPI | 1093205114 |
---|---|
Provider Name | Nora Bassam Khoury |
First Address | South Miami, FL 33143-4701 |
Second Address | South Miami, FL 33143-4701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2018 |
Last Update Date | 20/10/2020 |