Individual
ZAHRA NOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
33638
OK
2080P0206X
Pediatric Gastroenterology Physician
Primary
664575
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063043
—
WI
Enumeration date
07/14/2015
Last updated
04/24/2024
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