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NPI Code Detail

MEDICARE: DR. DAVID ABDUN-NUR M.D.

MEDICARE: DR. DAVID ABDUN-NUR M.D.
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
1207Q00000XFamily Medicine PhysicianMD18589OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396737847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ABDUN-NUR M.D.
Provider Business Mailing Address
First Line : 1701 NE 7TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1319
Country : US
Telephone Number : 541-471-2701
Fax Number : 541-471-1166
Provider Business Practice Location Address
First Line : 741 NE 6TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1556
Country : US
Telephone Number : 541-471-2701
Fax Number : 541-471-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 01/24/2024

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