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Individual

MTANIS KHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074770
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
110710
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
U2898
TX

Other

Enumeration date
07/15/2019
Last updated
07/15/2026
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