Provider Demographics
NPI:1790730844
Name:PASHA, NOORANISSA J (MD)
Entity Type:Individual
Prefix:DR
First Name:NOORANISSA
Middle Name:J
Last Name:PASHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOOR
Other - Middle Name:
Other - Last Name:PASHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7106 BANBURY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2695
Mailing Address - Country:US
Mailing Address - Phone:281-207-6228
Mailing Address - Fax:
Practice Address - Street 1:7106 BANBURY CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2695
Practice Address - Country:US
Practice Address - Phone:281-207-6228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6332174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0533711Medicaid
300098476OtherMEDICARE RAILROAD
PA0860871Medicare ID - Type Unspecified
300098476OtherMEDICARE RAILROAD