Provider Demographics
NPI:1073026175
Name:CHIAT, NOUREDDINE
Entity Type:Individual
Prefix:
First Name:NOUREDDINE
Middle Name:
Last Name:CHIAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E OLTORF ST APT 26-110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5796
Mailing Address - Country:US
Mailing Address - Phone:512-909-3801
Mailing Address - Fax:
Practice Address - Street 1:1100 E OLTORF ST APT 26-110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5796
Practice Address - Country:US
Practice Address - Phone:512-909-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-10
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)