Individual
JOSHUA MATTHEW VARGHISE MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
986880 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-6880
(402) 559-7298
Mailing address
986880 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-6880
(402) 559-7298
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
33153
NE
2086X0206X
Surgical Oncology Physician
M6740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AG961
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/25/2007
Last updated
02/11/2025
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