Dr KHOSRO JACOB AHDOUT MD is a male medical professional, specializing in Nephrology. He graduated in 1984.
15775 LAGUNA CANYON RD
SUITE 220
IRVINE
CA
926187706
Tel:
| Npi | 1952356214 |
| Pac Id | 4385672484 |
| Professional Enrollment Id | I20050729000999 |
| Last Name | AHDOUT |
| First Name | KHOSRO |
| Middle Name | JACOB |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1984 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 15775 LAGUNA CANYON RD |
| Line 2 Street Address | SUITE 220 |
| Marker Of Address Line 2 Suppression | |
| City | IRVINE |
| State | CA |
| Zip Code | 926187706 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050224 |
| Hospital Affiliation Lbn 1 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Hospital Affiliation Ccn 2 | 050603 |
| Hospital Affiliation Lbn 2 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 050769 |
| Hospital Affiliation Lbn 3 | HOAG ORTHOPEDIC INSTITUTE |
| Hospital Affiliation Ccn 4 | 050567 |
| Hospital Affiliation Lbn 4 | MISSION HOSPITAL REGIONAL MED CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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