Individual
DR. EBRAHIM MOHAMMED SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Mailing address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
26247
NE
207KA0200X
Allergy Physician
50266
WI
208000000X
Pediatrics Physician
26247
NE
208000000X
Pediatrics Physician
50266
WI
Other
Enumeration date
11/14/2006
Last updated
09/22/2011
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