Individual
SANDEEP MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N 30TH ST, STE 5730, OMAHA, NE 68131-2128
(402) 449-4692
(402) 449-5926
Mailing address
601 N 30TH ST, STE 5730, OMAHA, NE 68131-2128
(402) 449-4692
(402) 449-5926
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21355
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557523
—
NE
Enumeration date
05/10/2006
Last updated
01/16/2015
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