Individual
MR. VIJAY K DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 25TH CT, OMAHA, NE 68131-3654
(402) 717-5550
(402) 717-4797
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20236
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037877928
—
NE
Enumeration date
11/09/2005
Last updated
07/16/2019
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