Individual
ANTOINE B KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, MC 11102H, SAINT PAUL, MN 55101
(651) 254-5175
(651) 254-1603
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41952
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511090400
—
MN
Enumeration date
02/14/2006
Last updated
05/18/2022
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