Individual
MAGUED NADIM KHOUZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7370 TURFWAY RD, STE 150, FLORENCE, KY 41042-4895
(859) 578-5880
(859) 578-5881
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.125012
OH
208600000X
Surgery Physician
Primary
40546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489009
BLUE CROSS-BLUE SHIELD
KY
05
—
3126889
—
OH
05
—
64123714
—
KY
01
—
P00920120
RAILROAD MEDICARE
KY
Enumeration date
07/12/2006
Last updated
03/29/2022
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