Individual
DR. SIDHARTH MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-8919
(402) 955-3262
Mailing address
1360 S 192ND AVE, OMAHA, NE 68130-3027
(847) 445-7490
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
28653
NE
Other
Enumeration date
06/11/2009
Last updated
08/06/2015
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