Organization Active NPI

Moheb Khouzam, MD

  • Obstetrics & Gynecology Physician
  • Delhi, NY
National Provider Identifier
1912950544
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
189174-1 Issued in NY
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 189174-1 NY
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
189174OtherNYLICENSE
01361655MedicaidNY

Other names 1

  • Delhi Womens Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.