Rouba Ghoussoub Md Llc

LBN: Rouba Ghoussoub Md Llc
Rouba Ghoussoub Md Llc is an health care organization with primary practice located at 1400 Us Highway 61 G30, Festus MO 63028-4100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Rouba Ghoussoub Md Llc can be contacted via phone (636) 931-7770, or through Ghoussoub, Rouba via phone (636) 931-7770.

Contact Information

Primary practice address
1400 Us Highway 61 G30 Festus MO 63028-4100
Phone: (636) 931-7770
Fax: (636) 931-7671
Website:
Map and Directions
Authorized official contact:
Name: Ghoussoub, Rouba Doctor of Medicine (MD)
Phone: (636) 931-7770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1417349234
LBN Legal business name Rouba Ghoussoub Md Llc
DBA Doing business as
Authorized official Ghoussoub, Rouba Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2015
Last updated Apr 23rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417349234 NPPES
Missouri MEDICAID 1417349234

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