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Organization

MIDWEST REGIONAL EPILEPSY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEEPAK MADHAVAN MD (PRESIDENT)
(402) 552-2270
Entity
Organization

Contact information

Practice address
4242 FARNAM ST STE 655, OMAHA, NE 68131-2850
(402) 552-2270
(402) 552-2276
Mailing address
4242 FARNAM ST STE 655, OMAHA, NE 68131-2850
(402) 552-2270
(402) 552-2276

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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