Khreis, Mahmoud
Khreis, Mahmoud is an individual health care provider with primary practice located at 11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Khreis, Mahmoud can be contacted via phone (260) 672-6637.Contact Information
Primary practice address
11109 Parkview Plaza Dr
Fort Wayne IN 46845-1701
Phone: (260) 672-6637
Fax: (260) 458-5355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01094219A | Indiana |
Profile Details
| NPI number | 1619379427 |
|---|---|
| LBN Legal business name | Khreis, Mahmoud |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2014 |
| Last updated | Oct 2nd, 2024 - about 2 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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