FRED ZACHARY NOUR MD NPI 1881629350

NPI Information

NPI: 1881629350
Provider Name: FRED ZACHARY NOUR, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
26691 PLAZA
STE 235
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-9054
Get Directions

Fred Zachary Nour, MD is a neurology psychiatry neurology in Mission Viejo, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Fred Zachary Nour, MD NPI is 1881629350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26691 PLAZA
STE 235
MISSION VIEJO, CA
ZIP 92691-329
Phone: (949) 364-9054
Fax: (949) 364-6171

The enumeration date for this NPI number is 7/12/2006 and was last updated on 12/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	C54401	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2201682	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	C48400	MEDICARE UPIN	ILLINOIS
3	000000502077	OTHER	INDIANA	ANTHEM
4	755851	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE
5	200846240	MEDICAID	INDIANA
6	C48400	MEDICARE UPIN	INDIANA
7	036065960	MEDICAID	ILLINOIS
8	716700DD	MEDICARE PIN	INDIANA
9	FN322A	MEDICARE PIN	CALIFORNIA
10	FN325Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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