Healthcare Provider Details

I. General information

NPI: 1144152984
Provider Name (Legal Business Name): MR. AMINU NGORAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 WENNINGHOFF RD
OMAHA NE
68134-1914
US

IV. Provider business mailing address

2242 GREGG RD APT 5
BELLEVUE NE
68123-4075
US

V. Phone/Fax

Practice location:
  • Phone: 402-560-8387
  • Fax:
Mailing address:
  • Phone: 402-575-8416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: