1326048927 NPI number — DR. MUHAMMAD S HAROON MD

Table of content: DR. MUHAMMAD S HAROON MD (NPI 1326048927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326048927 NPI number — DR. MUHAMMAD S HAROON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAROON
Provider First Name:
MUHAMMAD
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326048927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 E 23RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREMONT
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68025-2303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-941-7030
Provider Business Mailing Address Fax Number:
402-941-7032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 E 23RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68025-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-941-7030
Provider Business Practice Location Address Fax Number:
402-941-7032
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  21819 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30710 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: NA1217004 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 086200004 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100257742-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 830008667 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




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