Provider Demographics
NPI:1609420223
Name:MAADI, RU'A
Entity Type:Individual
Prefix:
First Name:RU'A
Middle Name:
Last Name:MAADI
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 1:1200 AVENIDA CESAR CHAVEZ SE APT 423
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-3902
Mailing Address - Country:US
Mailing Address - Phone:505-236-1034
Mailing Address - Fax:
Practice Address - Street 1:1200 AVENIDA CESAR CHAVEZ SE APT 423
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-3902
Practice Address - Country:US
Practice Address - Phone:505-236-1034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician