Individual
SAMEH N KHOUZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 LITTLE YORK RD STE 20, DAYTON, OH 45414
(937) 454-9527
(937) 454-9532
Mailing address
4160 LITTLE YORK RD STE 20, DAYTON, OH 45414-5803
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
084219
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
084219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495643
—
OH
Enumeration date
06/01/2005
Last updated
01/19/2021
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