Provider Demographics
NPI:1043488844
Name:FAHED, RABIH C (MD)
Entity type:Individual
Prefix:
First Name:RABIH
Middle Name:C
Last Name:FAHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 641850
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7850
Mailing Address - Country:US
Mailing Address - Phone:402-572-3535
Mailing Address - Fax:402-572-2688
Practice Address - Street 1:110 N 29TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4424
Practice Address - Country:US
Practice Address - Phone:402-644-7550
Practice Address - Fax:402-644-7551
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE24944207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE24944OtherNE LICENSE