Nabil Blila
Individual provider Active NPI Driver · Raleigh, NC
NPI 1750145066 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1750145066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 25364967 (NC)
- Practice address
- 5423 Shaker Heights LN
Raleigh, NC 27613-1490 - Phone
- (919) 889-8483
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25364967 | NC | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 25364967 | NC | Yes |
Addresses
Primary practice location
5423 Shaker Heights LN
Raleigh, NC 27613-1490
Mailing address
5423 Shaker Heights LN
Raleigh, NC 27613-1490
Phone (919) 889-8483
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.