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Individual

DEEPAK M GANGAHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770
Mailing address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14407
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100126340E
KS
05
10026072000
NE
05
10026072200
NE
05
10026072300
NE
05
10026072400
NE
05
10026072500
NE
05
10026072600
NE
05
1969055
IA
05
47070592300
NE
05
47070592301
NE
05
47070592302
NE
05
47070592305
NE
05
47070592306
NE
05
47070592313
NE
Enumeration date
10/04/2006
Last updated
01/26/2012
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