Provider Demographics
NPI:1821502329
Name:AL HUMAIDHI, NOOR W (MD)
Entity Type:Individual
Prefix:
First Name:NOOR
Middle Name:W
Last Name:AL HUMAIDHI
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 1:20 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4823
Mailing Address - Country:US
Mailing Address - Phone:603-775-0000
Mailing Address - Fax:603-778-2491
Practice Address - Street 1:20 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4823
Practice Address - Country:US
Practice Address - Phone:603-775-0000
Practice Address - Fax:603-778-2491
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3111214Medicaid