Healthcare Provider Details

I. General information

NPI: 1619590023
Provider Name (Legal Business Name): NADA AHMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 FARNAM ST STE 650
OMAHA NE
68131-2813
US

IV. Provider business mailing address

4242 FARNAM ST STE 650
OMAHA NE
68131-2813
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-3173
  • Fax: 402-559-3341
Mailing address:
  • Phone: 402-552-3173
  • Fax: 402-559-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number36280
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: