Individual
DR. SHARAD D KUNNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14080 HOSPITAL RD, BOYS TOWN, NE 68010-7513
(402) 778-6900
(402) 778-6917
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 281-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4406
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4406
NE TEP LICENSE
NE
Enumeration date
04/25/2007
Last updated
02/21/2013
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