Individual
AMEER KABOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
(920) 738-5369
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 731-8900
(920) 738-5369
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35071058
OH
207RC0000X
Cardiovascular Disease Physician
Primary
82764
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140672
ANTHEM
OH
01
—
02291
PARAMOUNT
OH
05
—
0310792
—
OH
01
—
060055319
RAILROAD MEDICARE
OH
01
—
1105810651
BLUE CROSS BLUE SHIELD MICHIGAN
MI
05
—
4127151
—
MI
Enumeration date
08/23/2005
Last updated
09/22/2023
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