Provider Demographics
NPI:1982401931
Name:ABDIKADIR, SALAH
Entity type:Individual
Prefix:
First Name:SALAH
Middle Name:
Last Name:ABDIKADIR
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 1:2111 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111
Mailing Address - Country:US
Mailing Address - Phone:531-910-8867
Mailing Address - Fax:
Practice Address - Street 1:6818 GROVER STREET
Practice Address - Street 2:200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106
Practice Address - Country:US
Practice Address - Phone:402-932-0072
Practice Address - Fax:402-614-8245
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist