Organization
CHAKRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINY KASZUBA (BILLING MANAGER)
(402) 397-5466
Entity
Organization
Contact information
Practice address
11766 WHITMORE ST, OMAHA, NE 68142-1639
(712) 328-5490
Mailing address
11711 ARBOR ST, SUITE 240, OMAHA, NE 68144-2979
(402) 393-9459
(402) 397-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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