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Individual

DR. BASHIR EL-KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
559 VINCENT STREET, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914-1541
(719) 552-1627
Mailing address
559 VINCENT STREET, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914-1541

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101248040
VA
2083A0100X
Aerospace Medicine Physician
Primary
T1693
TX

Other

Enumeration date
06/11/2009
Last updated
04/21/2025
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