Provider Demographics
NPI:1205013703
Name:NOON, SAIMA N (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:N
Last Name:NOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-2608
Mailing Address - Country:US
Mailing Address - Phone:304-842-5133
Mailing Address - Fax:304-842-5135
Practice Address - Street 1:170 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-2608
Practice Address - Country:US
Practice Address - Phone:304-842-5133
Practice Address - Fax:304-842-5135
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
06325237OtherECFMG