Individual
ANDREW CHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8613 N 30TH ST, OMAHA, NE 68112-1852
(402) 453-9900
(402) 453-5617
Mailing address
8613 N 30TH ST, OMAHA, NE 68112-1852
(402) 453-9900
(402) 453-5617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2608
NE
Other
Enumeration date
04/09/2020
Last updated
04/26/2024
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