Individual
DR. RAYMOND KHOUDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 S RIVER ST, PLAINS, PA 18705-1149
(570) 970-1400
(570) 970-1403
Mailing address
190 S RIVER ST, PLAINS, PA 18705-1149
(570) 970-1400
(570) 970-1403
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD048279L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014930060002
—
PA
Enumeration date
11/16/2005
Last updated
07/06/2010
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