KHALED BOUBES (NPI# 1356573976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356573976 |
Entity Type | Individual |
Full Name | KHALED BOUBES |
Other Name | KHALED BOOBES |
Credential | M.D. |
Practice Address |
543 Taylor Ave Fl 3 Columbus OH 43203-1278 |
Mailing Address |
700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 |
Practice Telephone | 6142934837 |
Practice Fax Number | 6142933125 |
Mailing Telephone | 6142932594 |
Enumeration Date | 2009-08-15 |
Last Update Date | 2019-05-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036-135916 | IL | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35132671 | OH | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 036-135916 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
675 N Saint Clair St, Chicago, IL 606115975 | 7169550815 |
Street Address |
543 TAYLOR AVE FL 3 |
City | COLUMBUS |
State | OH |
Zip Code | 43203-1278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699905323 | Ajay Vallakati | Student in an Organized Health Care Education/Training Program | 543 Taylor Ave Fl 3, Columbus, OH 43203-1278 | 2009-07-15 |
1649615212 | Jennica Johns | Internal Medicine | 543 Taylor Ave Fl 3, Columbus, OH 43203-1278 | 2013-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
1750845160 | Bianca Bell | Counselor | 1223 Mt Vernon Ave, Columbus, OH 43203 | 2019-01-30 |
1902323710 | Anitra Gripper | Home Health | 442 N. Garfield Avenue, Columbus, OH 43203 | 2017-08-23 |
1710418900 | Sherrie Cathey | Licensed Practical Nurse | 521 Sawyer Blvd #906, Columbus, OH 43203 | 2017-03-21 |
1710341490 | Ann-kathrin Eisfeld | Student in an Organized Health Care Education/Training Program | 1276 Eastwood Ave, Columbus, OH 43203 | 2016-04-08 |
1194140921 | Chante Meadows, LLC | Community/Behavioral Health | 1000 Atcheson Street, Columbus, OHIO 43203 | 2014-03-03 |
1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
1437203080 | Debra R Jones | Psychiatry & Neurology | 1620 East Broad Street, Suite 109, Columbus, OH 43203 | 2007-01-22 |
1841397296 | Daniel Kenneth Mcclincy | Physician Assistant | 543 Taylor Ave., Vaopc, Columbus, OH 43203 | 2006-09-20 |
Find all providers in zip 43203 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
1710053160 | Rolando C Congbalay | Internal Medicine | 985 W 3rd Ave, Columbus, OH 43212-3109 | 2006-11-28 |
1801980354 | Lilian Tadena Thome | Internal Medicine | 543 Taylor Avenue, Columbus, OH 43203-1278 | 2006-10-02 |
1689767295 | Nephrology Associates of Columbus, P.C. | Internal Medicine | 2424 A Warm Springs Road, Columbus, GA 31904 | 2006-10-02 |
1033213137 | Henry Lee Wehrum | Internal Medicine | 985 West Third Avenue, Columbus, OH 43212-3109 | 2006-09-11 |
1407868722 | Russell James Pikus | Internal Medicine | 940 N Marr Rd Ste B, Columbus, IN 47201-2610 | 2006-08-13 |
1417996000 | John E. Reed Jr. | Internal Medicine | 2520 5th Street North, Columbus, MS 39705 | 2006-06-06 |
1649226317 | Christopher Joseph Lebrun | Internal Medicine | 129 N Brookmoore Dr, Columbus, MS 39705-2024 | 2006-05-25 |
1093763823 | Teferi G Mengesha | Internal Medicine | 2355 S Hamilton Rd, Columbus, OH 43232-4305 | 2006-05-04 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.