Individual
DR. MAHBOOB NOORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W LOVELAND AVE, STE 102, LOVELAND, OH 45140-2358
(513) 683-3020
(513) 677-4585
Mailing address
PO BOX 635156, CINCINNATI, OH 45263-5156
(513) 683-3020
(513) 677-4585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35061251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894993
—
OH
01
—
42799948
AETNA
OH
01
—
61251
CHOICE CARE
OH
Enumeration date
05/24/2005
Last updated
06/07/2010
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