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Organization

HEARTLAND OB/GYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLIA M FAHMY MD (PRESIDENT)
(402) 933-7274
Entity
Organization

Contact information

Practice address
4951 CENTER ST, #206, OMAHA, NE 68106-3251
(402) 933-7247
(402) 933-7196
Mailing address
4951 CENTER ST, #206, OMAHA, NE 68106-3251
(402) 933-7247
(402) 933-7196

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025907600
NE
Enumeration date
10/08/2010
Last updated
01/20/2011
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