| Dr Souheil H Khoukaz, MD | |
|
1390 Highway 61 South, Suite 3300, Festus, MO 63028 | |
| (636) 933-5055 | |
| Not Available |
| Full Name | Dr Souheil H Khoukaz |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 36 Years |
| Location | 1390 Highway 61 South, Festus, 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 |
|---|---|---|---|
| 1386636868 | NPI | - | NPPES |
| 1386636868 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 118388 (Missouri) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 118388 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Iron County Medical Center | Pilot knob, MO | Hospital |
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Madison Medical Center | Fredericktown, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Heart And Vascular Llc | 8820016207 | 104 |
| Entity Name | Mercy Clinic Heart And Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932176401 PECOS PAC ID: 8820016207 Enrollment ID: O20051103000947 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Souheil H Khoukaz, MD 12855 N 40 Dr, Suite 300, Saint Louis, MO 63141-8657 Ph: (314) 880-6162 | Dr Souheil H Khoukaz, MD 1390 Highway 61 South, Suite 3300, Festus, MO 63028 Ph: (636) 933-5055 |
Holly Ackermann, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384 | |
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Festus, MO 63028 Phone: 636-933-5055 Fax: 636-933-3609 | |
Karthik Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Joanne M Waltman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017 | |
Swetha Edla, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Dr. Manzoor Ahmad Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486 | |
Amit J Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 |