| Organization Name: | RAYMOND KHOUDARY MDPC |
| NPI Number: | 1295947141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE BROWN (BILLING OFFICE) |
| Mailing Address: | 190 S River St Plains |
| State: | PA US |
| Postal Code: | 187051149 |
| Phone Number: | 5709701400 |
| Fax Number: | 5709701403 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MD048279L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |