MEDICARE: NOORULHUDA ALAA SABRI

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	3747P1801X	Personal Care Attendant	100040457	VA
2	374U00000X	Home Health Aide	100040457	VA

General Provider Information

NPI Number	:	1720812563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOORULHUDA ALAA SABRI

Provider Business Mailing Address
First Line	:	2614 STEWART VIEW TER
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-1265
Country	:	US
Telephone Number	:	470-269-0783
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 STEWART VIEW TER
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-1265
Country	:	US
Telephone Number	:	470-269-0783
Fax Number	:

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

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	02/10/2026

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