1629196886 NPI number — PROF. BAKR MOHAMED NOUR MD

Table of content: PROF. BAKR MOHAMED NOUR MD (NPI 1629196886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629196886 NPI number — PROF. BAKR MOHAMED NOUR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOUR
Provider First Name:
BAKR
Provider Middle Name:
MOHAMED
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629196886
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 LEXINGTON AVE
Provider Second Line Business Mailing Address:
SUITE 670
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10022-6102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-962-4953
Provider Business Mailing Address Fax Number:
646-962-4960

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WEILL CORNELL MEDICAL COLLEGE IN QATAR
Provider Second Line Business Practice Location Address:
EDUCATION CITY
Provider Business Practice Location Address City Name:
DOHA
Provider Business Practice Location Address State Name:
DOHA
Provider Business Practice Location Address Postal Code:
24144
Provider Business Practice Location Address Country Code:
QA
Provider Business Practice Location Address Telephone Number:
974-492-8361
Provider Business Practice Location Address Fax Number:
974-492-8333
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 204F00000X , with the licence number:  19055 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 204F00000X , with the licence number: MD048710-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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