Jagadesh, Sunil Kumar

Jagadesh, Sunil Kumar is an individual health care provider with primary practice located at 7710 Mercy Rd Ste 426 , Omaha NE 68124-2323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jagadesh, Sunil Kumar can be contacted via phone (402) 343-8650.

Contact Information

Primary practice address
7710 Mercy Rd Ste 426 Omaha NE 68124-2323
Phone: (402) 343-8650
Fax: (402) 343-8545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD-38484 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25298 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25298 Nebraska

Profile Details

NPI number 1932320066
LBN Legal business name Jagadesh, Sunil Kumar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 26th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932320066 NPPES
Nebraska Other 098684518 MEDICARE PTAN
Nebraska Other 414530144 MEDICARE PTAN

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