Rana Khoury MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301063718 Issued in MI

Legal business name

RANA KHOURY MD PC

Practice address

3736 Pelham St
Dearborn, MI 48124-3832

Phone

(313) 565-5101

Fax

(313) 565-8001

NPI assigned

Jun 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rana Khoury, MDNPI 1861562365

Title

Owner

Phone

(313) 565-5101

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rana Khoury, MD

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1861562365
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1225232655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 PELHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243832",
            "telephone_number": "313-565-5101",
            "fax_number": "313-565-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 PELHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243832",
            "telephone_number": "313-565-5101",
            "fax_number": "313-565-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANA KHOURY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-565-5101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225232655",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "080H239740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "080H239740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0222",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicollette Ramos
• Medina Fayez Ramouni
• Diane Likwetta Ramsey
• Katey Ramthun, CTRS
• Minahil Ramzan
• Jacqueline M Rancour, L.M.S.W.
• Alexis Zappa Randazzo
• Dominique Randle
• Mavis Benita Rankin-Ferguson, NP-C
• Kathryn Ann Rankin, PA-C

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.