Healthcare Provider Details
I. General information
NPI: 1508749730
Provider Name (Legal Business Name): FARHEEN G MALEK BDS, MDS, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/28/2025
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
989375 NEBRASKA MED CENTER
OMAHA NE
68198-9375
US
IV. Provider business mailing address
4000 E CAMPUS LOOP S
LINCOLN NE
68583-1530
US
V. Phone/Fax
- Phone: 402-559-0749
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 145 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: