Provider Demographics
NPI:1174291587
Name:OSMAN, NOURHAN (MSC)
Entity Type:Individual
Prefix:MISS
First Name:NOURHAN
Middle Name:
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:MISS
Other - First Name:NOURA
Other - Middle Name:
Other - Last Name:OSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSC
Mailing Address - Street 1:1111 EXPOSITION BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4314
Mailing Address - Country:US
Mailing Address - Phone:916-779-3249
Mailing Address - Fax:
Practice Address - Street 1:1111 EXPOSITION BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-779-3249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001278170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS