Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 29779 | NE |
NPI | 1174939540 |
---|---|
Provider Name | Salaheddin H. I. Elrokhsi |
First Address | Omaha, NE 68114-4113 |
Second Address | Omaha, NE 68114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2014 |
Last Update Date | 15/08/2018 |