| Amer B Nouh Md Pllc | |
|
1417 Nw 150th St Edmond OK 73013-1305 | |
| (405) 418-4041 | |
| (405) 418-4136 |
| Full Name | Amer B Nouh Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1417 Nw 150th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Amer B Nouh (PRESIDENT) |
| Authorized Official Contact | 2158692194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amer B Nouh Md Pllc 2601 Glen Hollow Rd Edmond OK 73034-4287 Ph: (215) 869-2194 | Amer B Nouh Md Pllc 1417 Nw 150th St Edmond OK 73013-1305 Ph: (405) 418-4041 |
| NPI Number | 1811297260 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2668668401 |
|---|---|
| Medicare Enrollment ID | O20101119000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811297260 | NPI | - | NPPES |
| 200312230A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 27605 (Oklahoma) | Primary |
| Provider Name | Amer B Nouh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952587503 PECOS PAC ID: 3577759315 Enrollment ID: I20101119000126 |
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