Koutouby, Raghad
Koutouby, Raghad is an individual health care provider with primary practice located at 8525 Sw 92Nd St Ste C11A , Miami FL 33156-7386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Koutouby, Raghad can be contacted via phone (305) 512-3345.Contact Information
Primary practice address
8525 Sw 92Nd St Ste C11A
Miami FL 33156-7386
Phone: (305) 512-3345
Fax: (844) 323-3689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ME0055947 | Florida |
Profile Details
| NPI number | 1043259468 |
|---|---|
| LBN Legal business name | Koutouby, Raghad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043259468 | NPPES |
| Florida | MEDICAID | 373857400 |
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