Provider Demographics
NPI:1629964044
Name:RIDA, AFAK MOHAMMED
Entity type:Individual
Prefix:
First Name:AFAK
Middle Name:MOHAMMED
Last Name:RIDA
Suffix:
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 1:7120 WOODY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3033
Mailing Address - Country:US
Mailing Address - Phone:402-601-5967
Mailing Address - Fax:402-601-5967
Practice Address - Street 1:5220 S 40TH ST APT 63
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4535
Practice Address - Country:US
Practice Address - Phone:402-601-5967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist