Provider Demographics
NPI:1740891944
Name:NURU, NADER
Entity type:Individual
Prefix:
First Name:NADER
Middle Name:
Last Name:NURU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 EL MUNDO ST APT 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4631
Mailing Address - Country:US
Mailing Address - Phone:714-809-4506
Mailing Address - Fax:
Practice Address - Street 1:8300 EL MUNDO ST APT 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4631
Practice Address - Country:US
Practice Address - Phone:714-809-4506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver