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NPI Code Detail

MEDICARE: MICHEL A KOURIE M.D.

MEDICARE: MICHEL A KOURIE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35074442OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083606008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEL A KOURIE M.D.
Provider Business Mailing Address
First Line : PO BOX 637676
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number : 513-528-5600
Fax Number : 513-528-9716
Provider Business Practice Location Address
First Line : 463 OHIO PIKE
Second Line : SUITE 300
City : CINCINNATI
State : OH
Zip : 45255-3721
Country : US
Telephone Number : 513-528-5600
Fax Number : 513-528-9716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 05/23/2012

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