Provider Demographics
NPI:1437373073
Name:ABOU SEIF, MOHSEN (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:MOHSEN
Middle Name:
Last Name:ABOU SEIF
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 S 50TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3829
Mailing Address - Country:US
Mailing Address - Phone:402-404-6061
Mailing Address - Fax:402-933-1374
Practice Address - Street 1:3440 S 50TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3829
Practice Address - Country:US
Practice Address - Phone:402-404-6061
Practice Address - Fax:402-933-1374
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25251207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE25251OtherNEDRASKA MEDICAL LISCENCE