# STAR CITY MEDICAL CLINIC., PC

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

## Provider details

- **NPI number:** 1346566593
- **Authorized official:** WASIM M CHUGHTAI M.D (PRESIDENT)
- **Authorized official phone:** (402) 484-6080

## Contact information

- **Practice address:** 1620 S 70TH ST, 101, LINCOLN, NE 68506-1563
- **Practice address phone:** (402) 484-6080
- **Mailing address:** 1620 S 70TH ST, 101, LINCOLN, NE 68506-1563
- **Mailing address phone:** (402) 484-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 04/13/2010