Individual
DR. HANI RAOUL KHOUZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9171
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
C50701
CA
2084P0800X
Psychiatry Physician
Primary
C50701
CA
2084P0805X
Geriatric Psychiatry Physician
C50701
CA
Other
Enumeration date
03/16/2006
Last updated
03/08/2021
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