Khouzam, Sameh N

Khouzam, Sameh N is an individual health care provider with primary practice located at 4160 Little York Rd Ste 20 , Dayton OH 45414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Khouzam, Sameh N can be contacted via phone (937) 454-9527.

Contact Information

Primary practice address
4160 Little York Rd Ste 20 Dayton OH 45414
Phone: (937) 454-9527
Fax: (937) 454-9532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 084219 Ohio
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 084219 Ohio

Profile Details

NPI number 1881696060
LBN Legal business name Khouzam, Sameh N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 19th, 2021 - about 5 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 1881696060 NPPES
Ohio MEDICAID 2495643

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