Gangadharam, Yamuna
Gangadharam, Yamuna is an individual health care provider with primary practice located at 3911 Avenue B Ste 1100, Scottsbluff NE 69361-4617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gangadharam, Yamuna can be contacted via phone (308) 630-2101.Contact Information
Primary practice address
3911 Avenue B Ste 1100
Scottsbluff NE 69361-4617
Phone: (308) 630-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25677 | Nebraska |
Profile Details
| NPI number | 1740216589 |
|---|---|
| LBN Legal business name | Gangadharam, Yamuna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740216589 | NPPES |
| Nebraska | MEDICAID | 10025668100 |
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