Individual
DR. GHASSAN SOULTAN ALKOUTAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2660 TATE BLVD SE, HICKORY, NC 28602-1465
(828) 216-0009
(828) 261-0109
Mailing address
2660 TATE BLVD SE, HICKORY, NC 28602-1465
(828) 216-0009
(828) 261-0109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9300007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060053896
RAILROAD MEDICARE
—
05
—
7910725
—
NC
Enumeration date
08/02/2005
Last updated
10/28/2022
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