Ghoury, Abdullah Khan

Ghoury, Abdullah Khan is an individual health care provider with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ghoury, Abdullah Khan can be contacted via phone (909) 881-4520.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 881-4520
Fax: (909) 881-4526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A96810 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A96810 California

Profile Details

NPI number 1972715381
LBN Legal business name Ghoury, Abdullah Khan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972715381 NPPES
California Other P00472046 RR MEDICARE
California Other 00A968100 RR MEDICARE
California MEDICAID 00A968100 RR MEDICARE

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