Provider Demographics
NPI:1558708487
Name:KHOURY, FADI MUNIR (MD)
Entity Type:Individual
Prefix:DR
First Name:FADI
Middle Name:MUNIR
Last Name:KHOURY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1910 E THOMAS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7767
Mailing Address - Country:US
Mailing Address - Phone:602-240-6140
Mailing Address - Fax:602-604-5020
Practice Address - Street 1:1830 S ALMA SCHOOL RD STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3086
Practice Address - Country:US
Practice Address - Phone:480-248-3000
Practice Address - Fax:480-248-3050
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
AZ47561208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)