Provider Demographics
NPI:1629196886
Name:NOUR, BAKR MOHAMED (MD)
Entity Type:Individual
Prefix:PROF
First Name:BAKR
Middle Name:MOHAMED
Last Name:NOUR
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 1:575 LEXINGTON AVE
Mailing Address - Street 2:SUITE 670
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:646-962-4953
Mailing Address - Fax:646-962-4960
Practice Address - Street 1:WEILL CORNELL MEDICAL COLLEGE IN QATAR
Practice Address - Street 2:EDUCATION CITY
Practice Address - City:DOHA
Practice Address - State:DOHA
Practice Address - Zip Code:24144
Practice Address - Country:QA
Practice Address - Phone:974-492-8361
Practice Address - Fax:974-492-8333
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19055204F00000X
PAMD048710-L204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF59199Medicare UPIN
OK008296Medicare ID - Type Unspecified