Healthcare Provider Details

I. General information

NPI: 1891347886
Provider Name (Legal Business Name): ABDUR REHMAN JAMIL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96840 NEBRASKA MEDICAL CENTER OMAHA NE 68198-68
OMAHA NE
68198-6840
US

IV. Provider business mailing address

96840 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-6840
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-5600
  • Fax:
Mailing address:
  • Phone: 402-559-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number37292
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: