Noori, Shahrbanoo F
Noori, Shahrbanoo F is an individual health care provider with primary practice located at 1223 Gateway Dr Ste B , Melbourne FL 32901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Noori, Shahrbanoo F can be contacted via phone (321) 725-4500.Contact Information
Primary practice address
1223 Gateway Dr Ste B
Melbourne FL 32901
Phone: (321) 725-4500
Fax: (321) 676-9731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME129685 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Florida |
Profile Details
| NPI number | 1518118769 |
|---|---|
| LBN Legal business name | Noori, Shahrbanoo F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Oct 31st, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518118769 | NPPES |
| Florida | MEDICAID | 012953600 |
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