Provider Demographics
NPI:1750176145
Name:ALDAKHI, RUBA J
Entity type:Individual
Prefix:
First Name:RUBA
Middle Name:J
Last Name:ALDAKHI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 N 44TH ST APT 9
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3834
Mailing Address - Country:US
Mailing Address - Phone:402-601-7520
Mailing Address - Fax:
Practice Address - Street 1:2340 N 44TH ST APT 9
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3834
Practice Address - Country:US
Practice Address - Phone:402-601-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool