Individual
THOMAS LUTFALLAH KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH ST, BRAUNLIN BLDG, SUITE 306, PORTSMOUTH, OH 45662-2638
(740) 353-8661
(740) 354-3254
Mailing address
1711 27TH ST, BRAUNLIN BLDG, SUITE 306, PORTSMOUTH, OH 45662-2638
(740) 353-8661
(740) 354-3254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2025-01256
NC
208600000X
Surgery Physician
Primary
35.065158
OH
2086S0129X
Vascular Surgery Physician
35.065158
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968690
—
OH
05
—
64938434
—
KY
05
—
6493843400
—
KY
Enumeration date
08/22/2005
Last updated
07/30/2025
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