Doctor Name: | NOOR AL KHORI |
NPI Number: | 1508154766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1000 Monroe Ave Nw Grand Rapids, MI - 495031455 |
Business Phone Number: | 6163913245 |
Business Fax Number: | |
Mailing Address: | 940 Monroe Ave Nw, Apt # 313 GRAND RAPIDS |
State: | MI |
Postal Code: | 495031456 |
Phone Number: | 3475744632 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2011 |
NPI Last Update Date: | 07/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |