| Dr Elie Joseph Khouri, MD | |
|
1701 Lacey St, Cape Girardeau, MO 63701-5230 | |
| (573) 331-6431 | |
| (573) 986-5984 |
| Full Name | Dr Elie Joseph Khouri |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 40 Years |
| Location | 1701 Lacey St, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558324442 | NPI | - | NPPES |
| 002584800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME64138 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME64138 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview Medical Center | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Mountain Group Services, Llc | 3678886256 | 63 |
| Entity Name | Oak Mountain Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366840761 PECOS PAC ID: 3678886256 Enrollment ID: O20150727000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elie Joseph Khouri, MD 3392 Tabreeze Ct, Ocoee, FL 34761-4600 Ph: (407) 341-8970 | Dr Elie Joseph Khouri, MD 1701 Lacey St, Cape Girardeau, MO 63701-5230 Ph: (573) 331-6431 |
Reena Thomas, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5176 Fax: 573-331-5089 | |
Venumadhav Chirunomula, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 | |
Muhammad Naeem, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-331-6431 Fax: 573-986-5984 |