Sorour, Khaled A
Sorour, Khaled A is an individual health care provider with primary practice located at 680 Centre St Anesthetics Of Brockton, Pc, Brockton MA 02302-3308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Sorour, Khaled A can be contacted via phone (508) 941-7656.Contact Information
Primary practice address
680 Centre St Anesthetics Of Brockton, Pc
Brockton MA 02302-3308
Phone: (508) 941-7656
Fax: (508) 941-6345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD10810 | Rhode Island |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 208679 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 208679 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD10810 | Rhode Island |
Profile Details
| NPI number | 1508823717 |
|---|---|
| LBN Legal business name | Sorour, Khaled A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 11th, 2023 - about 3 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 | 1508823717 | NPPES |
| Massachusetts | MEDICAID | 110037805A |
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