Healthcare Provider Details

I. General information

NPI: 1770495442
Provider Name (Legal Business Name): NOURA ABBAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8533 E 32ND ST N
WICHITA KS
67226-2611
US

IV. Provider business mailing address

1945 N ROCK RD APT 917
WICHITA KS
67206-1228
US

V. Phone/Fax

Practice location:
  • Phone: 316-730-0118
  • Fax:
Mailing address:
  • Phone: 316-730-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: