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Contact Information

HABIB J KHOURY, MD
25200 CENTER RIDGE RD
#3300
WESTLAKE, OH44145-4141
 Phone: 440-331-3645
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HABIB J KHOURY · (Male)

NPI Number 1851415798
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2007
Last updated 06/14/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 88982
  • OH Medicaid 2741779
  • Other 7619947 AETNA
  • Other 000000518761 ANTHEM
  • Other 3610861 ASC MEDICARE GRP #
  • Other 341783789127 CARESOURCE
  • Other 1780634279 GROUP NPI
  • Other D368301 MEDICARE GRP IND LAB
  • Other 9273172 MEDICARE PHY GROUP #
  • Other CA4511 RR MEDICARE GROUP #
Hospital affiliation(s)
  • EMH REGIONAL MEDICAL CENTER - (Acute Care)
    630 EAST RIVER STREET
    ELYRIA, OH 44035
  • FAIRVIEW HOSPITAL - (Acute Care)
    18101 LORAIN AVENUE
    CLEVELAND, OH 44111
  • ST JOHN MEDICAL CENTER - (Acute Care)
    29000 CENTER RIDGE ROAD
    WESTLAKE, OH 44145
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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