Khoukaz, Souheil H

Khoukaz, Souheil H is an individual health care provider with primary practice located at 1390 Highway 61 South Suite 3300, Festus MO 63028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khoukaz, Souheil H can be contacted via phone (636) 933-5055.

Contact Information

Primary practice address
1390 Highway 61 South Suite 3300 Festus MO 63028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 118388 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 118388 Missouri

Profile Details

NPI number 1386636868
LBN Legal business name Khoukaz, Souheil H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 26th, 2017 - about 9 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 1386636868 NPPES
Missouri MEDICAID 1386636868

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