Individual
DR. KHALED A SOROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, ANESTHETICS OF BROCKTON, PC, BROCKTON, MA 02302-3308
(508) 941-7656
(508) 941-6345
Mailing address
15 MILLERS BROOK DR, CUMBERLAND, RI 02864-6158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
208679
MA
207L00000X
Anesthesiology Physician
MD10810
RI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
208679
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD10810
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037805A
—
MA
Enumeration date
05/01/2006
Last updated
10/11/2023
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