Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIDAL BOUTROS
ActiveDR. NIDAL BOUTROS is a Internal Medicine healthcare provider located in LEBANON, Missouri. NPI 1629036173 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LEBANON, MO
Registration Details
- NPI Number
- 1629036173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.313037657204 yrs)
- Last Updated
- Feb 10, 2022
- License
-
2009027847 (MO)
Practice Information
- Address
-
120 HOSPITAL DRSUITE 300LEBANON, MO, 655369238Browse MO providers · Browse ZIP 65536
- Phone
- 4175336746
- Fax
- 4175336740
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in LEBANON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY FEARS | MD | 1598738536 |
| DR. OSSAMA AL-ASSAFEEN | MD | 1912078452 |
| SOFIA IQBAL | MD | 1154707511 |
| SHREYANS BENGANI | MD | 1710334610 |
| ANDREW JAMES SICKBERT | MD | 1770224206 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.