Dr. Nidal Boutros
Dr. Nidal Boutros is an Internal Medicine in Lebanon, Missouri. Qualified in 1990, 36 years ago. Practices with Statland Medical Group LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 36
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
120 Hospital Dr Ste 300Lebanon, MO 65536-9238
Phone: (417) 533-6746
Fax: (417) 533-6740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 2009027847 (MO) |
|---|
Record details
| NPI number | 1629036173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2006 |
| Last updated in NPPES | February 10, 2022 |
| Mailing address | Po Box 505164, Saint Louis, MO 63150-5164 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1990 (36 years in practice) |
| Group practice | Statland Medical Group Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Lebanon
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Dr. Ossama Al-Assafeen, MD
120 Hospital Dr Ste 300, Lebanon, MO 65536-9238 · (417) 533-6746
-
Hassan Ali, MD
120 Hospital Dr Ste 300, Lebanon, MO 65536-9227 · (417) 533-6746
-
Shreyans Bengani, MD
100 Hospital Dr, Lebanon, MO 65536-9210 · (417) 841-5108
-
Dr. Jeffrey Fears, MD
441 W Elm St, Lebanon, MO 65536-3523 · (417) 532-2805
-
Sofia Iqbal, MD
120 Hospital Dr Ste 300, Lebanon, MO 65536-9227 · (417) 533-6746
-
Andrew James Sickbert, MD
755 Cowan Dr, Lebanon, MO 65536-4629 · (417) 532-2805
-
Ali Ahsen Syed, MD
100 Hospital Dr, Lebanon, MO 65536-9210 · (417) 533-6100