Nagui N Khouzam MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0017130 Issued in FL

Legal business name

NAGUI N KHOUZAM MD PA

Practice address

54 E Plant St
Winter Garden, FL 34787-3127

Phone

(407) 656-4549

Fax

(407) 656-3222

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nagui N Khouzam, MD

Title

Nagui/Physician

Phone

(407) 656-4549

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1821321357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E PLANT ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873127",
            "telephone_number": "407-656-4549",
            "fax_number": "407-656-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E PLANT ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873127",
            "telephone_number": "407-656-4549",
            "fax_number": "407-656-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGUI N KHOUZAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "KHOUZAM",
        "authorized_official_first_name": "NAGUI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "NAGUI/PHYSICIAN",
        "authorized_official_telephone_number": "407-656-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0017130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054464700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.