Individual
GHASSAN HIKMAT KHOUKAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005005178
MO
208M00000X
Hospitalist Physician
Primary
2005005178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207454703
—
MO
Enumeration date
11/22/2005
Last updated
03/12/2021
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