DR. KHALED KAMAL NOUR (NPI# 1750329413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329413 |
| Entity Type | Individual |
| Full Name | DR. KHALED KAMAL NOUR |
| Credential | M.D. |
| Practice Address |
2615 Enterprise Blvd Ste B Lake Charles LA 70601-7686 |
| Mailing Address |
Po Box 122623 Dept 2623 Dallas TX 75312-2623 |
| Practice Telephone | 3374944895 |
| Practice Fax Number | 3374944896 |
| Mailing Telephone | 3374942919 |
| Mailing Fax Number | 3374943069 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD.15691R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICAL LICENSE | MD.15691R | 01 |
| Street Address |
2615 ENTERPRISE BLVD STE B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705055 | Frank Marrero | Internal Medicine | 2615 Enterprise Blvd Ste B, Lake Charles, LA 70601-7686 | 2005-10-21 |
| 1619488061 | Jaime Renee Elder | Nurse Practitioner | 2615 Enterprise Blvd Ste B, Lake Charles, LA 70601-7686 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1083931646 | Eric Charles Fontenot | Internal Medicine | 555 Dr Michael Debakey Dr Ste 101, Lake Charles, LA 70601-5700 | 2010-04-22 |
| 1538304597 | Nisha B Patel | Internal Medicine | 555 Dr. Michael Debakey Drive, Suite 101, Lake Charles, LA 70601-5700 | 2008-12-04 |
| 1306016522 | Gastroenterology Associates of Swla LLC | Internal Medicine | 555 Dr. Michael Debakey Dr., Suite 101, Lake Charles, LA 70601 | 2008-03-04 |
| 1003898362 | Robin Ann Rougeau | Internal Medicine | 555 South Ryan St, #101, Lake Charles, LA 70601 | 2005-11-14 |
| 1265413876 | Ricardo Michael Mccall | Internal Medicine | 555 Dr Michael Debakey Dr, #101, Lake Charles, LA 70601-5700 | 2005-11-10 |
| 1093705055 | Frank Marrero | Internal Medicine | 2615 Enterprise Blvd Ste B, Lake Charles, LA 70601-7686 | 2005-10-21 |
| 1356644066 | Digestive Health Center of Swla | Internal Medicine | 2770 3rd Ave Ste 345, Lake Charles, LA 70601-8994 | 2010-12-20 |
| 1427224765 | Sarpreet Singh Basra | Internal Medicine | 2615 Enterprise Blvd, Ste B, Lake Charles, LA 70601-7686 | 2008-05-06 |
| 1346294691 | Juan Carlos Teran | Internal Medicine | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-05-20 |
| 1083676241 | Gerald W Byrd | Internal Medicine | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-04-04 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on DR. KHALED KAMAL NOUR.
| 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.