Provider Demographics
NPI:1518731611
Name:KHAN, ALMAS ALTAF
Entity Type:Individual
Prefix:
First Name:ALMAS ALTAF
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2709
Mailing Address - Country:US
Mailing Address - Phone:402-436-1161
Mailing Address - Fax:402-458-3261
Practice Address - Street 1:1930 S 20TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-2709
Practice Address - Country:US
Practice Address - Phone:402-436-1161
Practice Address - Fax:402-458-3261
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider