Basic Information
Provider Information
NPI: 1386096360
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KASHYAP
FirstName: MEGHANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 983280 NEBRASKA MEDICAL CTR
Address2:  
City: OMAHA
State: NE
PostalCode: 681983280
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 983280 NEBRASKA MEDICAL CTR
Address2:  
City: OMAHA
State: NE
PostalCode: 681983280
CountryCode: US
TelephoneNumber: 4025595510
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2016
LastUpdateDate: 07/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X7855NEY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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