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KAKISH MD PC NPI 1861799017


NPI Information

NPI: 1861799017
Provider Name: KAKISH MD PC

Doing Business As: OMAHA HEALTH CLINIC

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 28D2085334

Address:
14440 F ST STE 121
OMAHA, NE
ZIP 68137
Phone: (402) 933-4450
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KAKISH MD PC is a critical care medicine internal medicine in Omaha, NE. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. KAKISH MD PC NPI is 1861799017. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Omaha Health Clinic.

The provider's business location address is:

14440 F ST STE 121
OMAHA, NE
ZIP 68137-005
Phone: (402) 933-4450
Fax: (402) 933-4490

The provider's authorized official is Eyad F Eyad .
The authorized official title is President and has the following contact phone number (402) 397-5462.

The CLIA number assigned to this NPI record is 28D2085334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 4/12/2024.


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
1207RC0200XInternal MedicineCritical Care Medicine22576NEBRASKAYes

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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