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NPI Code Detail

MEDICARE: KEDIJA YAHYA NURU

MEDICARE:   KEDIJA YAHYA NURU
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
1343800000XSecured Medical Transport (VAN)
2347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1770236846
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEDIJA YAHYA NURU
Provider Business Mailing Address
First Line : 1733 ARIAL DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-7340
Country : US
Telephone Number : 512-554-1745
Fax Number :
Provider Business Practice Location Address
First Line : 1733 ARIAL DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-7340
Country : US
Telephone Number : 512-554-1745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2022
Last Update Date : 09/21/2022

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Directions to “ KEDIJA YAHYA NURU ” Practice Location

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