Individual
NADA ABDELLATIF FADUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
804 S 52ND ST, OMAHA, NE 68106-1802
(402) 559-2666
(402) 559-2677
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2013-01253
NC
207RI0200X
Infectious Disease Physician
Primary
31077
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1797P
BCBS NC
NC
05
—
1912910423
—
NC
Enumeration date
08/14/2006
Last updated
12/09/2018
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