Healthcare Provider Details
I. General information
NPI: 1093527152
Provider Name (Legal Business Name): NOOR HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
934 PLUM GROVE DR # SR
MONROE MI
48161-9672
US
IV. Provider business mailing address
934 PLUM GROVE DR # SR
MONROE MI
48161-9672
US
V. Phone/Fax
- Phone: 248-986-7500
- Fax:
- Phone: 248-986-7500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084F0202X |
| Taxonomy | Forensic Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RIZWAN
MUFTI
Title or Position: OWNER
Credential: MD
Phone: 248-986-7500