Provider Demographics
NPI:1497550990
Name:ALGAREB, MUSTAFA HUSSEIN SR
Entity type:Individual
Prefix:DR
First Name:MUSTAFA
Middle Name:HUSSEIN
Last Name:ALGAREB
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4327 BALDWIN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-2500
Mailing Address - Country:US
Mailing Address - Phone:402-617-5274
Mailing Address - Fax:
Practice Address - Street 1:831 DARREN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1269
Practice Address - Country:US
Practice Address - Phone:402-617-5274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE70057900372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider