Grace Nimat Khouri, MD is a
General Practice physician based in Mankato, Minnesota. Grace Nimat Khouri is licensed to practice in Minnesota (license number 30851) and her current practice location is 1230 E. Main Street, Mankato Clinic, Ltd, Mankato, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 625-1811.
NPI number for Grace Nimat Khouri is 1063489151 and her current mailing address is Po Box 8674 1230 E. Main Street, Mankato Clinic Ltd, Mankato, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063489151.
Physician's Profile
| Full Name | Grace Nimat Khouri |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1230 E. Main Street, Mankato, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063489151
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 09/20/2012
Medical Identifiers
Medical identifiers for Grace Nimat Khouri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063489151 | NPI | - | NPPES |
| 836385400 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 30851 (Minnesota) | Secondary |
| 208D00000X | General Practice | 30851 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Nimat Khouri is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grace Nimat Khouri, MD
Po Box 8674 1230 E. Main Street, Mankato Clinic Ltd,
Mankato, MN 56002-8674
Ph: (507) 625-1811 | Grace Nimat Khouri, MD
1230 E. Main Street, Mankato Clinic, Ltd,
Mankato, MN 56002-8674
Ph: (507) 625-1811 |
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