MEDICARE: NURAHMED KEDIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver	35581766

General Provider Information

NPI Number	:	1346609849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NURAHMED KEDIR

Provider Business Mailing Address
First Line	:	8900 N IH 35
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-4571
Country	:	US
Telephone Number	:	214-960-7404
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 N IH 35
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-4571
Country	:	US
Telephone Number	:	214-960-7404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	02/12/2016

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Directions to “ NURAHMED KEDIR ” Practice Location

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