Individual
SONALI S DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23057
NE
207RN0300X
Nephrology Physician
33510
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04425
BC/BS OF NEBRASKA
NE
05
—
0442731
—
IA
05
—
47078164513
—
NE
Enumeration date
06/28/2006
Last updated
04/10/2019
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