Provider Demographics
NPI:1588766596
Name:KHURI, EMILE I (MD)
Entity type:Individual
Prefix:DR
First Name:EMILE
Middle Name:I
Last Name:KHURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2951 WEST FRONT STREET
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641
Mailing Address - Country:US
Mailing Address - Phone:276-964-7411
Mailing Address - Fax:276-964-7411
Practice Address - Street 1:2951 WEST FRONT STREET
Practice Address - Street 2:SUITE 1400
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-964-7411
Practice Address - Fax:276-964-7411
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA032523OtherANTHEM
VA0389900OtherUMWA
B06090Medicare UPIN