Individual
DR. ANJAN TALUKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N 162ND AVE STE 300, OMAHA, NE 68118-2540
(402) 354-1200
(402) 354-1205
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30644
NE
2086S0129X
Vascular Surgery Physician
64901-020
WI
2086S0129X
Vascular Surgery Physician
MD-44973
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026135100
—
NE
05
—
10026454700
—
NE
05
—
10026480122
—
NE
05
—
1346479706
—
IA
05
—
1346479706
—
WI
05
—
47068731713
—
NE
Enumeration date
07/07/2009
Last updated
08/02/2019
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