Provider Demographics
NPI:1194524660
Name:OSMAN, ELFATEH K
Entity type:Individual
Prefix:
First Name:ELFATEH
Middle Name:K
Last Name:OSMAN
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 1:3243 CORNHUSKER HWY STE A10
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-1592
Mailing Address - Country:US
Mailing Address - Phone:402-202-8087
Mailing Address - Fax:
Practice Address - Street 1:7433 N 11TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-3743
Practice Address - Country:US
Practice Address - Phone:402-202-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372600000XNursing Service Related ProvidersAdult Companion