Organization
MIDWEST ANESTHESIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUBRATA V RAIKAR M.D. (OWNER)
(402) 721-8895
Entity
Organization
Contact information
Practice address
2900 ELK LN, FREMONT, NE 68025
(402) 721-8895
(402) 721-6663
Mailing address
2900 ELK LN, FREMONT, NE 68025-8691
(402) 721-8895
(402) 721-6663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21157
NE
208VP0014X
Interventional Pain Medicine Physician
Primary
21157
NE
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/20/2006
Last updated
06/27/2023
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