Provider Demographics
NPI:1417443144
Name:NURE, MOHAMMED TUHA
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:TUHA
Last Name:NURE
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 1:9333 PARSONS LANDING ST
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4493
Mailing Address - Country:US
Mailing Address - Phone:916-402-9052
Mailing Address - Fax:
Practice Address - Street 1:9333 PARSONS LANDING ST
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-4493
Practice Address - Country:US
Practice Address - Phone:916-402-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)