Individual
ANGELA JADE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 250-9233
Mailing address
1509 N 129TH AVENUE CIR, OMAHA, NE 68154-1072
(402) 250-9233
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
28901
NE
2085R0202X
Diagnostic Radiology Physician
Q7531
TX
390200000X
Student in an Organized Health Care Education/Training Program
6650
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Enumeration date
06/10/2011
Last updated
12/19/2025
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