Individual
DR. JACK JAWDAT KHOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # CA6, CLEVELAND, OH 44195-0001
(216) 296-5539
Mailing address
9500 EUCLID AVE # CA6, CLEVELAND, OH 44195-0001
(164) 448-3602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255782
MA
207RX0202X
Medical Oncology Physician
Primary
35.128141
OH
Other
Enumeration date
06/13/2013
Last updated
03/22/2021
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