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Individual

AHMAD ALCHOMMALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4590
Mailing address
631 N 8TH ST, MISSOURI VALLEY, IA 51555-1102
(712) 642-2784
(712) 642-9259

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18735
NE
207P00000X
Emergency Medicine Physician
MD-29019
IA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
18735
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437144961
NE
Enumeration date
09/12/2005
Last updated
12/14/2018
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