Provider Demographics
NPI:1881481240
Name:NOOR, MOHAMMED A
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:A
Last Name:NOOR
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 1:7410 CENTURY PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1518
Mailing Address - Country:US
Mailing Address - Phone:614-325-1489
Mailing Address - Fax:
Practice Address - Street 1:7410 CENTURY PL
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1518
Practice Address - Country:US
Practice Address - Phone:614-325-1489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health