Provider Demographics
NPI:1467710418
Name:SHURA, MERYEM S
Entity Type:Individual
Prefix:
First Name:MERYEM
Middle Name:S
Last Name:SHURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 METZEROTT RD
Mailing Address - Street 2:APT 406
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3471
Mailing Address - Country:US
Mailing Address - Phone:240-501-5751
Mailing Address - Fax:
Practice Address - Street 1:1826 METZEROTT RD
Practice Address - Street 2:APT 406
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-3471
Practice Address - Country:US
Practice Address - Phone:240-501-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide