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Individual

DANIEL TETSUNORI KASHIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5372
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5372

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351045067
MI
2084E0001X
Epilepsy Physician
37006
NE
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
37006
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4351045067
LIMITED EDUCATION LICENSE
MI
01
5315207172
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
05/29/2019
Last updated
04/16/2026
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