Provider Demographics
NPI:1487204111
Name:MUNIR, NUDRAAT
Entity Type:Individual
Prefix:
First Name:NUDRAAT
Middle Name:
Last Name:MUNIR
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 1:2070 ROOKERY DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4519
Mailing Address - Country:US
Mailing Address - Phone:248-342-9234
Mailing Address - Fax:
Practice Address - Street 1:2070 ROOKERY DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-4519
Practice Address - Country:US
Practice Address - Phone:248-342-9234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician