Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 24944 | NE |
NPI | 1043488844 |
---|---|
Provider Name | Rabih C Fahed |
First Address | Omaha, NE 68164-7850 |
Second Address | Norfolk, NE 68701-4424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2008 |
Last Update Date | 10/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24944 | NE LICENSE (01) | NE |