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Individual

BOSHRA MOHAMMED RIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2200 S 40TH ST, SUITE 104, LINCOLN, NE 68506-2425
(402) 483-6000
(402) 483-6106
Mailing address
2000 Q ST, SUITE 500, LINCOLN, NE 68503-3609
(402) 421-0904
(402) 421-0946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0001684
GA
207Q00000X
Family Medicine Physician
Primary
24739
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01629
BCBS
NE
Enumeration date
04/16/2007
Last updated
11/25/2013
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