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Organization
KHOURY SURGICAL GROUP, INC.
Active
Organization
KHOURY SURGICAL GROUP, INC.
Active
Other names
Vascular Lab
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAI T KHOURY MD (PRESIDENT)
(304) 233-2455
Entity
Organization
Contact information
Practice address
51339 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-9119
(304) 233-2455
(304) 233-6073
Mailing address
PO BOX 6780, WHEELING, WV 26003-0918
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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