Provider Demographics
NPI:1003842428
Name:M.E. NURBHAI, M.D,, P.C.
Entity Type:Organization
Organization Name:M.E. NURBHAI, M.D,, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTOLARYNGOLIST
Authorized Official - Prefix:
Authorized Official - First Name:MURTAZA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NURBHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-274-7761
Mailing Address - Street 1:1001 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COUDERSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16915-8161
Mailing Address - Country:US
Mailing Address - Phone:814-274-7761
Mailing Address - Fax:814-274-7753
Practice Address - Street 1:1001 E 2ND ST
Practice Address - Street 2:
Practice Address - City:COUDERSPORT
Practice Address - State:PA
Practice Address - Zip Code:16915-8161
Practice Address - Country:US
Practice Address - Phone:814-274-7761
Practice Address - Fax:814-274-7753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019973E207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000507442001OtherBLUE SHIELD
PA063776OtherHIGHMARK BLUE SHIELD
NY00649014Medicaid
PA063776Medicare ID - Type Unspecified
NY00649014Medicaid
NY074423Medicare ID - Type Unspecified
PA0005873040002Medicare ID - Type Unspecified