Provider Demographics
NPI:1316902190
Name:HOOD, REGINA KHOURY (DPM)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:KHOURY
Last Name:HOOD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:KHOURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:510 E VALLEY GREEN RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-1714
Mailing Address - Country:US
Mailing Address - Phone:215-233-3185
Mailing Address - Fax:215-233-3185
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:SUITE 203
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6357
Practice Address - Country:US
Practice Address - Phone:215-938-7725
Practice Address - Fax:215-938-7990
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004774L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA068247Medicare ID - Type Unspecified