NPI 1386823987 · live from the CMS NPI Registry
Khidir Abdelmoneim Khidir Dalouk, MD
Internal Medicine, Clinical Cardiac Electrophysiology in Portland, OR. National Provider Identifier 1386823987, active.
NPI record
| NPI | 1386823987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-1775 |
| Enumerated | October 31, 2007 |
| Last updated | December 16, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 57013968 (OH) |
| Internal Medicine | 207R00000X | MD151768 (OR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD151768 (OR) |
| Internal Medicine, Clinical Cardiac Electrophysiology primary | 207RC0001X | MD151768 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.