Provider Demographics
NPI:1366335218
Name:ZAKARIA, NOUSSOURADDINE YAKHOUB
Entity type:Individual
Prefix:
First Name:NOUSSOURADDINE
Middle Name:YAKHOUB
Last Name:ZAKARIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3539
Mailing Address - Country:US
Mailing Address - Phone:402-612-9005
Mailing Address - Fax:
Practice Address - Street 1:14210 ARBOR ST STE A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2382
Practice Address - Country:US
Practice Address - Phone:531-999-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant