Individual
DR. WASIM W CHUGHTAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 VAN DORN ST, SUITE 24, LINCOLN, NE 68506-2882
(402) 489-3200
(402) 489-5101
Mailing address
2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
(402) 483-8590
(402) 483-8599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19785
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400302
UHC
NE
01
—
080124010
RAILROAD MEDICARE
NE
05
—
10026311700
—
NE
01
—
1714
BCBS
NE
01
—
470812081
TAX ID
NE
05
—
47081208100
—
NE
Enumeration date
12/27/2006
Last updated
03/17/2021
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