Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.126569 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35.126569 | OH |
NPI | 1073878559 |
---|---|
Provider Name | Ruby Khoury |
First Address | Cincinnati, OH 45229 |
Second Address | Cincinnati, OH 45229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 08/05/2019 |