Basic Information
Provider Information
NPI: 1760675847
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALAWA
FirstName: AHMAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7440 S 91ST ST
Address2:  
City: LINCOLN
State: NE
PostalCode: 685269797
CountryCode: US
TelephoneNumber: 4023985880
FaxNumber:  
Practice Location
Address1: 7500 MERCY RD
Address2:  
City: OMAHA
State: NE
PostalCode: 681242319
CountryCode: US
TelephoneNumber: 4023985880
FaxNumber: 4023986716
Other Information
ProviderEnumerationDate: 08/22/2007
LastUpdateDate: 09/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X017525MEN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XME112604FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0001X277999MAN Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0001X33460NEY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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