Individual provider · NPI-1

Ala Waleed Bakheet Abushattal, MD

Family Medicine · Omaha, NE

NPI number1508590233
StatusActive
Last updated in NPPESSep 23, 2025

Details

NPI
1508590233
Entity type
Individual (NPI-1)
Name
Ala Waleed Bakheet Abushattal
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2022
Certification date
Sep 23, 2025
Last updated
Sep 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine36996NEYes

Practice location

2412 Cuming St Ste 200
Omaha, NE 68131-1604

Phone 402-717-0380 · Fax 402-717-6059

Mailing address

2412 Cuming St Ste 200
Omaha, NE 68131-1604

Phone 402-717-0380 · Fax 402-717-6059

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