Provider Demographics
NPI:1467609362
Name:KORO, NABEEL SAMIR (MD)
Entity Type:Individual
Prefix:
First Name:NABEEL
Middle Name:SAMIR
Last Name:KORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 W WHEATLAND RD STE 240
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4419
Mailing Address - Country:US
Mailing Address - Phone:214-948-8856
Mailing Address - Fax:214-948-5516
Practice Address - Street 1:3450 W WHEATLAND RD STE 240
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4419
Practice Address - Country:US
Practice Address - Phone:214-948-8856
Practice Address - Fax:214-948-5516
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36569207RG0100X
MO2008017832390200000X
TXR6813207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program