NPI 1578978995 · live from the CMS NPI Registry
George Khoudari, MD
Internal Medicine, Gastroenterology in Port St Lucie, FL. National Provider Identifier 1578978995, active.
NPI record
| NPI | 1578978995 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 10050 Sw Innovation Way, Port St Lucie, FL 34987 |
| Practice phone | 772-223-5945 |
| Enumerated | June 24, 2014 |
| Last updated | July 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 35.131927 (OH) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | ME168343 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.