Mary Leroy Khowassah in Iowa City - General Practice

Mary Leroy Khowassah - NPI 1740276096

Mary Leroy Khowassah is a General Practice in Iowa City, Iowa. Mary Leroy Khowassah practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Leroy Khowassah is 1740276096. The last update date is 2007-09-28.

Mary Leroy Khowassah's current location address is 4189 Westlawn S, Iowa City, Iowa. You can contact this provider via phone number 3193358370 and fax number 3193357247. The mailing address for Mary Leroy Khowassah is 4189 Westlawn S, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Leroy Khowassah
Address 4189 Westlawn S, Iowa City, Iowa
Phone Number 3193358370
Fax Number 3193357247
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740276096
Provider Enumeration Date 2005-09-22
Last Updated Date 2007-09-28

Provider Mailing Address Detail

Address 4189 Westlawn S
City Iowa City
State Iowa (IA)
Post Code 522421100
Phone Number 3193358370
Fax Number 3193357247

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 17924
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8972 IA WELLMARK BCBS
89722 IA --

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FAQs about Mary Leroy Khowassah

What is the unique identification code assigned to Mary Leroy Khowassah by the Centers for Medicare & Medicaid Services?

The Mary Leroy Khowassah has been issued the NPI (National Provider Identifier) 1740276096. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mary Leroy Khowassah is geographically located?

The Mary Leroy Khowassah is physically situated at the following location: 4189 Westlawn S, Iowa City, IA, 522421100.

What is Mary Leroy Khowassah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Leroy Khowassah is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

When was the Mary Leroy Khowassah's 1740276096 issued?

The Mary Leroy Khowassah's 1740276096 was issued on 2005-09-22.

As of what date was the information pertaining to Mary Leroy Khowassah, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Leroy Khowassah, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-28.

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