Provider Demographics
NPI:1316985534
Name:NAJDAWI, SUHAIR AFANA (MD)
Entity type:Individual
Prefix:
First Name:SUHAIR
Middle Name:AFANA
Last Name:NAJDAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUHAIR
Other - Middle Name:M
Other - Last Name:AFANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:402-494-3064
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:501 1ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-1703
Practice Address - Country:US
Practice Address - Phone:402-494-3064
Practice Address - Fax:712-294-7299
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA32916207Q00000X
NE23045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA04935OtherWELLMARK BCBS - MIDTOWN
NE42128384914Medicaid
SD7701322Medicaid
SD7701320Medicaid
IA1199935Medicaid
NE06682OtherBCBS NE - SOUTH SIOUX
NE421283849-12Medicaid
IA15769Medicare ID - Type UnspecifiedPART B - MIDTOWN
NE278432Medicare PIN
IA1199935Medicaid
SD7701322Medicaid