Individual
SHAHEED KOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
10623 MONTE VISTA CT, FORT WAYNE, IN 46814-9069
(260) 625-5341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01056850
IN
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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