| Sam M. Khouri, Md, A Professional Medical Corporation | |
|
1580 Creekside Dr Ste 260 Folsom CA 95630-3889 | |
| (916) 984-7870 | |
| (916) 984-7871 |
| Full Name | Sam M. Khouri, Md, A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1580 Creekside Dr Ste 260, Folsom, California |
| Authorized Official Name and Position | Sami M Khouri (OWNER) |
| Authorized Official Contact | 9169847870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam M. Khouri, Md, A Professional Medical Corporation 1580 Creekside Dr Ste 260 Folsom CA 95630-3889 Ph: (916) 984-7870 | Sam M. Khouri, Md, A Professional Medical Corporation 1580 Creekside Dr Ste 260 Folsom CA 95630-3889 Ph: (916) 984-7870 |
| NPI Number | 1760093249 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 5496174427 |
|---|---|
| Medicare Enrollment ID | O20200924001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760093249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sami M Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295779197 PECOS PAC ID: 3173412434 Enrollment ID: I20040313000590 |
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