Provider Demographics
NPI:1639960339
Name:HADJI, KHEDER SAIDO
Entity type:Individual
Prefix:
First Name:KHEDER
Middle Name:SAIDO
Last Name:HADJI
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 1:4021 W IRVING CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-3007
Mailing Address - Country:US
Mailing Address - Phone:402-730-8206
Mailing Address - Fax:
Practice Address - Street 1:4021 W IRVING CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-3007
Practice Address - Country:US
Practice Address - Phone:402-730-8206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide