National Provider Identifier Database

WISSAM E KHOURY, DPM – NPI #1104886910
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

WISSAM E KHOURY, DPM
2351 E 22ND ST
CLEVELAND, OH44115
Phone: 216-367-9444
Fax: 216-453-0331
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for WISSAM E KHOURY

NPI Number 1104886910
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/24/2006
Last updated 03/22/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 36003289
  • OH Medicaid: 2487116
Hospital affiliation n/a

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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