Active NPI
Moheb Khouzam, MD
- Obstetrics & Gynecology Physician
- Delhi, NY
National Provider Identifier
1912950544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 189174-1
- Legal business name
- MOHEB KHOUZAM, MD
- Practice address
- 135 Main St
Delhi, NY 13753-1219 - Phone
- (607) 746-9801
- Fax
- (607) 746-9802
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moheb Khouzam, MD
- Title
- Sole Proprietor
- Phone
- (607) 746-9801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 189174-1 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 189174-1 | NY | Primary |
Addresses
Primary practice location
135 Main St
Delhi, NY 13753-1219
Mailing address
PO Box 340
New Hartford, NY 13413-0340
Phone (315) 732-9368
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189174 | Other | NY | LICENSE |
| 01361655 | Medicaid | NY |
Other names 1
- Delhi Womens Medical Services
National Provider Directory
National Provider DirectoryLocations
135 Main St
Delhi, NY 13753
Phone (607) 746-6999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Delhi, NY
- NPI 1891135406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1912950544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134130340",
"telephone_number": "315-732-9368",
"fax_number": "315-732-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 MAIN ST",
"city": "DELHI",
"state": "NY",
"postal_code": "137531219",
"telephone_number": "607-746-9801",
"fax_number": "607-746-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHEB KHOUZAM, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KHOUZAM",
"authorized_official_first_name": "MOHEB",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "607-746-9801",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "189174-1",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "189174-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "189174",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01361655",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Delhi Womens Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delhi, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.