Provider Demographics
NPI:1760586242
Name:NOORUDDIN, NADIA KARIM (MD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:KARIM
Last Name:NOORUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-3513
Mailing Address - Country:US
Mailing Address - Phone:361-844-7796
Mailing Address - Fax:361-844-7627
Practice Address - Street 1:902 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-3513
Practice Address - Country:US
Practice Address - Phone:361-844-7796
Practice Address - Fax:361-844-7627
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C7681Medicare ID - Type Unspecified
TXF92865Medicare UPIN