Individual
BRIAN EDWARD KOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200600966
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2006-00966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904445
—
NC
Enumeration date
07/09/2006
Last updated
10/05/2017
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