Provider Demographics
NPI:1376543447
Name:MOREIRA, NORA E (MD)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:E
Last Name:MOREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10495 MONTGOMERY RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4468
Mailing Address - Country:US
Mailing Address - Phone:513-936-8900
Mailing Address - Fax:513-936-8912
Practice Address - Street 1:10495 MONTGOMERY RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4468
Practice Address - Country:US
Practice Address - Phone:513-936-8900
Practice Address - Fax:513-936-8912
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35035367M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0269061Medicaid
OH0269061Medicaid
OH0442888Medicare PIN