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Individual

KIRAN S GANGAHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10020 NICHOLAS ST, STE 202, OMAHA, NE 68114
(402) 391-5055
(402) 391-5053
Mailing address
6901 N 72ND ST, STE 3300N, OMAHA, NE 68122
(402) 572-3300
(402) 572-3305

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17964
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1537100
IA
05
47076868513
NE
01
P00081365
PALMETTO - GBA
Enumeration date
03/29/2006
Last updated
10/23/2007
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