NPI 1740974575

Rage Hassan Nur

Practitioner Driver Madison, WI

Practice location

Address: 658 S Gammon Rd STE 205, Madison, WI 53719-1374
Phone: (612) 422-9288

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1740974575
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2023
Record last updated: 5 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.