Individual
MR. MOATAZ ELLITHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
BUFFETT CANCER CENTER, UNIVERSITY OF NEBRASKA MEDICAL C, 986840 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-6840
(605) 941-9874
Mailing address
986840 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-6840
(402) 559-5388
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
15795
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
12/02/2024
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