Provider Demographics
NPI:1154355709
Name:NOURI, LABEED SAMI (MD)
Entity type:Individual
Prefix:DR
First Name:LABEED
Middle Name:SAMI
Last Name:NOURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3142 ALBANY DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-2927
Mailing Address - Country:US
Mailing Address - Phone:586-698-2358
Mailing Address - Fax:586-698-2169
Practice Address - Street 1:3058 METROPOLITAN PKWY
Practice Address - Street 2:# 204
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3671
Practice Address - Country:US
Practice Address - Phone:586-698-2358
Practice Address - Fax:586-698-2169
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2012-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088422208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI4864001Medicare PIN