Provider Demographics
NPI:1487016655
Name:NURUDEEN, ABDUL-LATIF (DPM)
Entity Type:Individual
Prefix:DR
First Name:ABDUL-LATIF
Middle Name:
Last Name:NURUDEEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:LATIF
Other - Middle Name:
Other - Last Name:NURUDEEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:2316 TAYLOR SKY LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3296
Mailing Address - Country:US
Mailing Address - Phone:281-500-8891
Mailing Address - Fax:281-688-1900
Practice Address - Street 1:9800 CENTRE PKWY STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8262
Practice Address - Country:US
Practice Address - Phone:281-500-8891
Practice Address - Fax:281-688-1900
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320420213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery