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Contact Information

SOUHEIL H KHOUKAZ, MD
1390 HIGHWAY 61 SOUTH
SUITE 3300
FESTUS, MO63028
 Phone: 636-933-5055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SOUHEIL H KHOUKAZ · (Male)

NPI # 1386636868
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 10/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 118388
  • MO Medicaid 1386636868
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • MERCY HOSPITAL ST LOUIS - (Acute Care)
    615 NEW BALLAS ROAD
    SAINT LOUIS, MO 63141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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