Individual
DR. KHALED FOUAD ELRAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 HIGHWAY 9 E, SUITE 320, LITTLE RIVER, SC 29566-8163
(843) 366-3715
(843) 366-3716
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20577
SC
207RG0100X
Gastroenterology Physician
C1-0011172
DE
207RG0100X
Gastroenterology Physician
ME148173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205771
—
SC
Enumeration date
03/01/2006
Last updated
04/14/2025
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