Organization
PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSHANG KHORRAM MD (DOCTOR)
(606) 248-8282
Entity
Organization
Contact information
Practice address
3604 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2614
(606) 248-8282
(606) 248-0030
Mailing address
3604 WEST CUMBERLAND AVENUE, MIDDLESBORO, KY 40965
(606) 248-8282
(606) 248-0030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164526
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005628491
—
VA
05
—
0095596
—
TN
05
—
16526
—
KY
Enumeration date
10/15/2012
Last updated
10/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us