Organization
MIDWEST INDEPENDENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMINI SOORI MD (CEO & PRESIDENT)
(402) 881-0231
Entity
Organization
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 881-0231
Mailing address
PO BOX 8352, OMAHA, NE 68108-0352
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NE
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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