Organization
RAYMOND KHOUDARY MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE BROWN (BILLING OFFICE)
(570) 970-1400
Entity
Organization
Contact information
Practice address
190 S RIVER ST, PLAINS, PA 18705-1149
(570) 970-1400
(570) 970-1403
Mailing address
190 S RIVER ST, PLAINS, PA 18705-1149
(570) 970-1400
(570) 970-1403
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD048279L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031149000
IBC
PA
01
—
020260900
FEDERAL BLACK LUNG
PA
01
—
079698
FPH
PA
01
—
23578
GHP
PA
01
—
333056
HBS
PA
01
—
4557012
AETNA
PA
01
—
50044349
CBC
PA
01
—
8954255
CIGNA
PA
Enumeration date
05/04/2007
Last updated
07/06/2010
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