1316985534 NPI number — SUHAIR AFANA NAJDAWI MD

Table of content: CHARLOTTE CHIARELLA REDFERN PNP-PC (NPI 1033095740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316985534 NPI number — SUHAIR AFANA NAJDAWI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAJDAWI
Provider First Name:
SUHAIR
Provider Middle Name:
AFANA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AFANA
Provider Other First Name:
SUHAIR
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1316985534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 1ST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH SIOUX CITY
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68776-1703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-494-3064
Provider Business Mailing Address Fax Number:
712-294-7299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 1ST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH SIOUX CITY
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68776-1703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-494-3064
Provider Business Practice Location Address Fax Number:
712-294-7299
Provider Enumeration Date:
06/02/2006

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: 207Q00000X , with the licence number:  32916 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 23045 , 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: 04935 . This is a "WELLMARK BCBS - MIDTOWN" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 42128384914 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7701322 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7701320 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1199935 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06682 . This is a "BCBS NE - SOUTH SIOUX" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 421283849-12 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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