Individual
DR. FERDINANDO ANTONIO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3327
(402) 354-8990
(402) 354-8995
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29438
NE
207Q00000X
Family Medicine Physician
6915
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1548608573
—
IA
05
—
47068731712
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731798
—
NE
Enumeration date
06/12/2013
Last updated
10/31/2016
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