Individual
DR. KHALID BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7710 MERCY RD STE 426, OMAHA, NE 68124-2323
(402) 343-8650
(402) 343-8545
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23165
NE
207RN0300X
Nephrology Physician
36257
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684
MEDICARE PTAN
NE
01
—
41453
MEDICARE PTAN
IA
Enumeration date
08/18/2006
Last updated
07/26/2021
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