KHOLOUD YASER ALTARAZI (NPI# 1780248674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780248674 |
Entity Type | Individual |
Full Name | KHOLOUD YASER ALTARAZI |
Credential | MD |
Practice Address |
7710 Mercy Rd Ste 202 Omaha NE 68124-2353 |
Mailing Address |
1004 N 192nd Ct Apt 103 Elkhorn NE 68022-2828 |
Practice Telephone | 4058859163 |
Mailing Telephone | 4058859163 |
Enumeration Date | 2019-04-25 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TEP8841 | NE | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
157 Stonebridge Blvd, Edmond, OK 730134606 | 4058859163 |
Street Address |
7710 MERCY RD STE 202 |
City | OMAHA |
State | NE |
Zip Code | 68124-2353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629326509 | Shantanu Patil | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2012-08-26 |
1477165744 | Diana Veronica Steau | Family Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-08-18 |
1265043327 | Vinay Bhushan Reddy Lakki | Psychiatry & Neurology | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-08-12 |
1265041818 | Vaishnavi Kuta Ganesan | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-29 |
1376151027 | Dana Skonseng | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-20 |
1205444981 | Philip Thomas Ryan | Psychiatry & Neurology | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-17 |
1831707017 | Mahmoud Ismayl | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-14 |
1588282875 | Abubakar Tauseef | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-13 |
1891313177 | Anna L Cheek | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-13 |
1932727187 | Elizabeth Pruss | Internal Medicine | 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 | 2020-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932761780 | Venkata Sunil Bendi | Psychiatry & Neurology | 6901 N 72nd St Ste 5300, Omaha, NE 68122-1709 | 2019-07-02 |
1902373574 | Thej Deep Rasi Reddy | Psychiatry & Neurology | 7710 Mercy Road, Suite 202-department of Neurology, Omaha, NE 68124-2353 | 2018-10-31 |
1679068530 | Daniel Alejandro Crespo Artunduaga | Psychiatry & Neurology | 988435 Nebraska Medical Center Neurology Department, Omaha, NE 68198-8435 | 2018-06-24 |
1225568421 | Asaad Md PC | Psychiatry & Neurology | 17030 Lakeside Hills Plz Ste 130, Omaha, NE 68130-2396 | 2017-06-20 |
1447706098 | Danmeng Wei | Psychiatry & Neurology | S 42nd St & Emilt St, Omaha, NE 68198-2045 | 2016-09-01 |
1699126441 | Kiel Woodward | Psychiatry & Neurology | 982045 Nebraska Medical Center, Omaha, NE 68198-2045 | 2016-06-23 |
1811303142 | Sanju P Joy | Psychiatry & Neurology | 608 S 38th Ave Apt 109, Omaha, NE 68105-1104 | 2014-07-08 |
1467893065 | Lakshman Narain Arcot Jayagopal | Psychiatry & Neurology | 988440 Nebraska Medical Ctr, Omaha, NE 68198-8440 | 2013-07-11 |
1699113175 | David Michael Whitney | Psychiatry & Neurology | 988480 Nebraska Medical Ctr, Omaha, NE 68198-3841 | 2013-06-06 |
1902062581 | Vesper Fe Marie Llaneza Ramos | Psychiatry & Neurology | 4001 Sorrell Education Ctr, 985524 Nebraska Medical Center, Omaha, NE 68198-5524 | 2008-08-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.