Organization
WISSAM KHOURY DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISSAM KHOURY DPM (OWNER)
(216) 921-3668
Entity
Organization
Contact information
Practice address
2475 E 22ND ST STE 120, CLEVELAND, OH 44115-3221
(216) 367-9444
Mailing address
2475 E 22ND ST STE 120, CLEVELAND, OH 44115-3221
(216) 367-9444
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052468
—
OH
Enumeration date
12/21/2009
Last updated
01/28/2026
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