Individual
HLEB DAVYDZENKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 WEST CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Mailing address
7100 WEST CENTER RD, OMAHA, NE 68106-2714
(402) 913-5514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36989
NE
207Q00000X
Family Medicine Physician
9486
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027543901
—
NE
Enumeration date
06/28/2022
Last updated
10/23/2025
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