Individual
FADI R KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18099 LORAIN AVE STE 345, CLEVELAND, OH 44111-5610
(216) 476-7144
Mailing address
2500 METROHEALTH DR, MHMC-OB/GYN, CLEVELAND, OH 44109-1900
(216) 778-5341
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35074356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114821
—
OH
Enumeration date
08/04/2006
Last updated
11/02/2020
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