Individual
MR. SIDI Y NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(423) 581-6638
Mailing address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(423) 581-6638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101242704
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4031817
BCBS
TN
01
—
TN0103
JOHN DEERE
TN
Enumeration date
07/30/2006
Last updated
04/29/2009
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