Provider Demographics
NPI:1588958029
Name:NOORANI AND NOORANI LLC
Entity type:Organization
Organization Name:NOORANI AND NOORANI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NOORANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-673-0236
Mailing Address - Street 1:11601 LAGO VIS W
Mailing Address - Street 2:1301
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6806
Mailing Address - Country:US
Mailing Address - Phone:214-673-0236
Mailing Address - Fax:
Practice Address - Street 1:11601 LAGO VIS W
Practice Address - Street 2:1301
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-6806
Practice Address - Country:US
Practice Address - Phone:214-673-0236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service