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STAR CITY MEDICAL CLINIC. PC NPI 1346566593


NPI Information

NPI: 1346566593
Provider Name: STAR CITY MEDICAL CLINIC., PC
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1620 S 70TH ST
101
LINCOLN, NE
ZIP 68506
Phone: (402) 484-6080
Get Directions

STAR CITY MEDICAL CLINIC., PC is an adolescent medicine internal medicine in Lincoln, NE. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. STAR CITY MEDICAL CLINIC., PC NPI is 1346566593. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1620 S 70TH ST
101
LINCOLN, NE
ZIP 68506-563
Phone: (402) 484-6080

The provider's authorized official is Wasim M Chughtai .
The authorized official title is President and has the following contact phone number (402) 484-6080.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 4/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========00MEDICAIDNEBRASKA
2270498MEDICARE PINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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