Individual
DR. RANDALL GENE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-5575
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17415
NE
2084P0800X
Psychiatry Physician
MD2018-0063
NM
2084P0800X
Psychiatry Physician
MD29920
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025598700
—
NE
05
—
47066229013
—
NE
01
—
P00681749
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
10/14/2025
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