Provider Demographics
NPI:1669360624
Name:ABDOURAMAN, MOHAMADOU
Entity type:Individual
Prefix:
First Name:MOHAMADOU
Middle Name:
Last Name:ABDOURAMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 WESTWOOD LN APT 4
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4358
Mailing Address - Country:US
Mailing Address - Phone:513-253-5428
Mailing Address - Fax:
Practice Address - Street 1:923 GALVIN RD S
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2202
Practice Address - Country:US
Practice Address - Phone:513-253-5428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker