Noorudin Pracha
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1669264875
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1669264875
- Entity type
- Individual (NPI-1)
- Name
- Noorudin Pracha
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2025
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
410 W 10th AveColumbus, OH 43210-1240
Phone 614-685-4411
Mailing address
1729 Heritage Lake DrCenterville, OH 45458-6067
Phone 937-626-5353
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