Provider Demographics
NPI:1891751756
Name:KREIT, NADIA IBRAHIM (MD)
Entity Type:Individual
Prefix:MISS
First Name:NADIA
Middle Name:IBRAHIM
Last Name:KREIT
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 1:700 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4714
Mailing Address - Country:US
Mailing Address - Phone:281-540-0012
Mailing Address - Fax:281-570-4973
Practice Address - Street 1:700 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4714
Practice Address - Country:US
Practice Address - Phone:281-540-0012
Practice Address - Fax:281-570-4973
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V9160OtherBLUE CROSS
TX127042302Medicaid
TX127042304Medicaid