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NPI Code Detail

MEDICARE: DR. RAND KHOURI NEMEH MD

MEDICARE: DR. RAND KHOURI NEMEH MD
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
12084P0800XPsychiatry PhysicianC136082CA
22084P0800XPsychiatry PhysicianME 104857FL

General Provider Information

NPI Number : 1225222839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAND KHOURI NEMEH MD
Provider Business Mailing Address
First Line : 5112 S TWINLEAF DR
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2843
Country : US
Telephone Number : 605-336-8997
Fax Number : 605-336-8997
Provider Business Practice Location Address
First Line : 8875 AERO DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2251
Country : US
Telephone Number : 619-400-5170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 07/18/2024

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