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NPI Code Detail

MEDICARE: VITUITY - NEVADA KOURY & PARTNERS PLLC

MEDICARE: VITUITY - NEVADA KOURY & PARTNERS PLLC
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1609477207
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITUITY - NEVADA KOURY & PARTNERS PLLC
Provider Business Mailing Address
First Line : 2100 POWELL ST STE 400
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1826
Country : US
Telephone Number : 510-851-7411
Fax Number :
Provider Business Practice Location Address
First Line : 4980 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3402
Country : US
Telephone Number : 702-216-7365
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : THEOPHILE G. KOURY
Credential :
Telephone Number : 510-851-7411
Provider Enumeration Date : 11/02/2020
Last Update Date : 12/21/2020

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Directions to “VITUITY - NEVADA KOURY & PARTNERS PLLC ” Practice Location

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