Khoukaz Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005005178 Issued in MO

Legal business name

KHOUKAZ INTERNAL MEDICINE, LLC

Practice address

3915 Watson Rd
Suite 100
Saint Louis, MO 63109-1251

Phone

(314) 646-0478

Fax

(314) 646-0698

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan Khoukaz, MD

Title

Owner of Practice

Phone

(314) 577-5778

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1871565804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-646-0478",
            "fax_number": "314-646-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOUKAZ INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "KHOUKAZ",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "314-577-5778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005005178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "DF6432",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilac Khojasteh, MD
• Pooja Vinayak Khonde, MD
• Lynnette C Khoo Summers, PT
• Pegah Khoshpouri, MD
• Tina Khosla, M.D.
• Ghassan Hikmat Khoukaz, MD
• Charbel Chafic Khoury, MD
• Jad Antoine Khoury, M.D.
• Rita Khoury, MD
• Tarush Khurana, MD

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.