Mahapatra, Jyoti S
Mahapatra, Jyoti S is an individual health care provider with primary practice located at 11111 S 84Th St , Papillion NE 68046-4122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mahapatra, Jyoti S can be contacted via phone (402) 593-3550.Contact Information
Primary practice address
11111 S 84Th St
Papillion NE 68046-4122
Phone: (402) 593-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 23692 | Nebraska |
Profile Details
| NPI number | 1427074186 |
|---|---|
| LBN Legal business name | Mahapatra, Jyoti S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jun 16th, 2008 - about 17 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 | 1427074186 | NPPES |
| Nebraska | MEDICAID | 100249951-00 | |
| Nebraska | Other | P00374033 | |
| Nebraska | MEDICAID | 0722868 | |
| Nebraska | Other | 39-02306 | |
| Nebraska | Other | 35611 |
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