Individual
MAROON B KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182786
MEDCOST
NC
05
—
89-4891M
—
NC
Enumeration date
07/08/2006
Last updated
03/07/2011
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