Provider Demographics
NPI:1073735817
Name:SKAF, NADA (MD)
Entity Type:Individual
Prefix:
First Name:NADA
Middle Name:
Last Name:SKAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NADA
Other - Middle Name:
Other - Last Name:AL-SKAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2727 S 144TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5201
Mailing Address - Country:US
Mailing Address - Phone:402-609-1200
Mailing Address - Fax:402-609-1220
Practice Address - Street 1:2727 S 144TH ST STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5201
Practice Address - Country:US
Practice Address - Phone:402-609-1200
Practice Address - Fax:402-609-1220
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24316207RR0500X
WI54266207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098684378Medicare PIN