Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mickael Marc Antoine Amine Khouzami, MD

Individual provider Anesthesiology Physician · NPI 1780359257

Mickael Marc Antoine Amine Khouzami, MD is an Anesthesiology in Buffalo, New York. Qualified in 2016, 10 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Main St # K3502
Buffalo, NY 14203-1009
Phone: (716) 323-6570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 320679 (NY)

Record details

NPI number1780359257
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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