Nadia Abou Kheir, M.S
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Springfields Gardens, NY
NPI 1164112447 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1164112447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 000137 (NY)
- Practice address
- Attention: Rajeh Kalloul, 182-21 150TH Ave
MCT 111490
Springfields Gardens, NY 11413 - Phone
- (718) 553-8740
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000137 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 000137 | NY | Yes |
Addresses
Primary practice location
Attention: Rajeh Kalloul, 182-21 150TH Ave
MCT 111490
Springfields Gardens, NY 11413
Mailing address
Attention: Rajeh Kalloul, 182-21 150TH Ave
MCT 111490
Springfields Gardens, NY 11413
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.