Individual
DR. SOUHEIL H KHOUKAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1390 HIGHWAY 61 SOUTH, SUITE 3300, FESTUS, MO 63028
(636) 933-5055
Mailing address
12855 N 40 DR, SUITE 300, SAINT LOUIS, MO 63141-8657
(314) 880-6162
(314) 997-3248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
118388
MO
207RI0011X
Interventional Cardiology Physician
Primary
118388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386636868
—
MO
Enumeration date
08/19/2005
Last updated
10/26/2017
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