# CHAKRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053674051
- **Authorized official:** TIFFINY KASZUBA (BILLING MANAGER)
- **Authorized official phone:** (402) 397-5466

## Contact information

- **Practice address:** 11766 WHITMORE ST, OMAHA, NE 68142-1639
- **Practice address phone:** (712) 328-5490
- **Mailing address:** 11711 ARBOR ST, SUITE 240, OMAHA, NE 68144-2979
- **Mailing address phone:** (402) 393-9459
- **Mailing address fax:** (402) 397-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 06/25/2012