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Export Provider Record NPI 1013962430
Wissam J KhooryM.D.
Active
NPI Number1013962430
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1013962430
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-24
Last Updated2012-07-05
Mailing Address20 Hope Ave, Suite. G03
Waltham, MA 02453-2721
United States
Phone: (781) 893-4490
📍 View Map
Primary Practice Address20 Hope Ave, Suite G03
Waltham, MA 02453-2721
United States
Phone: (781) 893-4490
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineMA153969
Export Provider Record NPI 1013962430
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About NPI 1013962430

Wissam J Khoory M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013962430. The primary specialty listed is Internal Medicine. The provider is located in Waltham, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013962430?

NPI 1013962430 belongs to Wissam J Khoory M.D., a Internal Medicine in Waltham, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013962430 active?

The current status of NPI 1013962430 in the NPPES registry is Active. The record was last updated on 2012-07-05.

What specialty is NPI 1013962430?

NPI 1013962430 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013962430?

You can verify NPI 1013962430 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013962430?

The primary practice address on file for NPI 1013962430 is 20 Hope Ave, Waltham, MA 02453-2721. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013962430 issued?

NPI 1013962430 was first issued (enumerated) on 2006-05-24. The NPPES record was last updated on 2012-07-05.

Practice Location Map

Wissam J Khoory is located at 20 Hope Ave, Waltham, MA. Use the map below to find directions or verify the practice location.

📍 20 Hope Ave, Waltham, MA 02453-2721  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wissam J Khoory. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013962430. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine153969MA
Data Verified from CMS NPPES Last synced: 2026-07-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162