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1518194943
SIDHARTH MAHAPATRA
OMAHA, NE
NPI
1518194943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: NE 28653)
Enumeration Date
2009-06-11
Last Update Date
2015-08-06
Business Address
Dr. SIDHARTH MAHAPATRA M.D., Ph.D.
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-8919
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Mailing Address
Dr. SIDHARTH MAHAPATRA M.D., Ph.D.
1360 S 192ND AVE
OMAHA, NE 68130-3027
Phone number: 847-445-7490
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