| NPI | 1386636868 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-19 |
| Last Updated | 2017-10-26 |
| Mailing Address | 12855 N 40 Dr, Suite 300 Saint Louis, MO 63141-8657 United States Phone: (314) 880-6162 | Fax: (314) 997-3248 📍 View Map |
| Primary Practice Address | 1390 Highway 61 South, Suite 3300 Festus, MO 63028 United States Phone: (636) 933-5055 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MO | 1386636868 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RI0011X – Internal Medicine, Interventional Cardiology | MO | 118388 |
| No | 207RC0000X – Internal Medicine, Cardiovascular Disease | MO | 118388 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1386636868
Souheil H Khoukaz MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386636868. The primary specialty listed is Internal Medicine, Interventional Cardiology. The provider is located in Festus, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386636868?
NPI 1386636868 belongs to Souheil H Khoukaz MD, a Internal Medicine, Interventional Cardiology in Festus, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386636868 active?
The current status of NPI 1386636868 in the NPPES registry is Active. The record was last updated on 2017-10-26.
What specialty is NPI 1386636868?
NPI 1386636868 is classified under the taxonomy Internal Medicine, Interventional Cardiology. 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 1386636868?
You can verify NPI 1386636868 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 1386636868?
The primary practice address on file for NPI 1386636868 is 1390 Highway 61 South, Festus, MO 63028. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386636868 issued?
NPI 1386636868 was first issued (enumerated) on 2005-08-19. The NPPES record was last updated on 2017-10-26.
Practice Location Map
Souheil H Khoukaz is located at 1390 Highway 61 South, Festus, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Souheil H Khoukaz. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1386636868. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Interventional Cardiology | 118388 | MO |
| Internal Medicine, Cardiovascular Disease | 118388 | MO |