Basic Information
Provider Information
NPI: 1124422936
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALSHEBANI
FirstName: YAZEID
MiddleName: ALI SAID
NamePrefix:  
NameSuffix:  
Credential: M.B.B.CH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 N 30TH STREET
Address2: CU DEPARTMENT OF INTERNAL MEDICINE SUITE#1609
City: OMAHA
State: NE
PostalCode: 68131
CountryCode: US
TelephoneNumber: 4027170800
FaxNumber: 4022801237
Practice Location
Address1: 601 N 30TH STREET
Address2:  
City: OMAHA
State: NE
PostalCode: 68131
CountryCode: US
TelephoneNumber: 4027170800
FaxNumber: 4022801237
Other Information
ProviderEnumerationDate: 10/22/2014
LastUpdateDate: 10/22/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X7215NEY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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