Individual
OSAMA ELSALLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST DEPT OF, OMAHA, NE 68131-2137
(402) 280-4180
Mailing address
636 DEES STREET, MISURATA, MISURATA NA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49192
KY
207R00000X
Internal Medicine Physician
Primary
7041
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100436730
—
KY
Enumeration date
02/04/2014
Last updated
02/06/2017
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