Provider Demographics
NPI:1295281624
Name:ALTURAIF, NOURA ABDULLAH (MBBS)
Entity type:Individual
Prefix:DR
First Name:NOURA
Middle Name:ABDULLAH
Last Name:ALTURAIF
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:NOURA
Other - Middle Name:ABDULLAH
Other - Last Name:ALTURAIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS
Mailing Address - Street 1:135 HOSPITAL DRIVE COBB HL RM 1031E
Mailing Address - Street 2:UIVERSITY OF VIRGINIA , PO BOX 800466
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0001
Mailing Address - Country:US
Mailing Address - Phone:434-924-2408
Mailing Address - Fax:434-243-0399
Practice Address - Street 1:135 HOSPITAL DRIVE COBB HL RM 1031E
Practice Address - Street 2:UVA , DEPARTMENT OF MEDICINE
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-2408
Practice Address - Fax:434-243-0399
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116029331174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAW228178592OtherAETNA