Provider Demographics
NPI:1871805689
Name:ALSHAIKHNASSER, HADI (MBBS)
Entity type:Individual
Prefix:DR
First Name:HADI
Middle Name:
Last Name:ALSHAIKHNASSER
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:CREIGHTON UNIVERSITY - GME
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-280-4318
Mailing Address - Fax:402-280-5165
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:CREIGHTON UNIVERSITY - GME
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-280-4318
Practice Address - Fax:402-280-5165
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine