SOUBRATA V RAIKAR


Address: 1439 E 23rd St, Fremont, NE 68025-2433
Phone: 4027218895

SOUBRATA V RAIKAR (NPI# 1154495125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154495125
Entity Type Individual
Full Name SOUBRATA V RAIKAR
Credential M.D.
Practice Address 1439 E 23rd St
Fremont
NE 68025-2433
Practice Telephone 4027218895
Practice Fax Number 4027216663
Mailing Telephone 4027218895
Mailing Fax Number 4027216663
Enumeration Date 2006-11-20
Last Update Date 2011-12-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 21157 NE Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
21157 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025199800 05

Office Location

Street Address 1439 E 23RD ST
City FREMONT
State NE
Zip Code 68025-2433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154978229 Kristen Laura Meyer Physical Therapy Assistant 1439 E 23rd St, Fremont, NE 68025-2433 2019-08-22
1598112724 Cp Physical Therapy PC Clinic/Center 1439 E 23rd St, Fremont, NE 68025-2433 2016-05-17
1356579478 Rita L Fowler Physician Assistant 1439 E 23rd St, Fremont, NE 68025-2433 2009-06-26
1407047822 Chris L Petersen Physical Therapist 1439 E 23rd St, Cp Physical Therapy, P.C., Fremont, NE 68025-2433 2007-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710456934 Methodist Fremont Health Pharmacy 450 E 23rd, Fremont, NE 68025 2018-11-16
1811484546 Cynthia Jane Cusick Social Worker 748 North Main Street, Fremont, NE 68025 2018-04-18
1891298196 Hergenrader Dental Rehab PC Dentist 3102 East Elk Lane, Fremont, NE 68025 2018-03-13
1982142857 Paula Y. Walla Speech-Language Pathologist 130 E. 9th St., Fremont, NE 68025 2017-02-10
1619326709 Debra Baker Nurse Practitioner 3140 Elk Ln Ste 600, Fremont, NE 68025 2016-06-09
1912368069 Nicole Henkel Occupational Therapist 450 East 23rd, Fremont, NE 68025 2016-03-17
1265818017 Orchid of Hope Counseling Exclusive Provider Organization 1919 North Broad Street, Fremont, NE 68025 2015-08-04
1265770366 James N Orr Pharmacist 840 E 23 St, Fremont, NE 68025 2013-01-24
1902156086 Penelope Anastasia Stoll Speech-Language Pathologist Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 2012-09-14
1144582685 Diane Marie Gehring Case Management 105 East 12th Street, Fremont, NE 68025 2012-06-11
Find all providers in zip 68025

Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083717979 Tulsidas Rameshbhai Gwalani Pain Medicine 656 Mowry Ave, Fremont, CA 94536-4113 2006-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245692581 Innovative Pain & Spine Specialists Pain Medicine 7121 Stephanie Ln Ste 102, Lincoln, NE 68516-5359 2016-03-25
1346709383 Grand Island Pain Relief Center PC Pain Medicine 403 Lexington Cir, Grand Island, NE 68803-9728 2019-03-19
1417474602 Momenta Pain Care, LLC Pain Medicine 1805 N 145th St, Omaha, NE 68154 2017-08-28
1447576293 Piperis Interventional Pain Care PC Pain Medicine 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2248 2010-04-19
1013161082 Pravardhan Rajashekar Birthi Pain Medicine 403 Lexington Cir, Grand Island, NE 68803-9728 2008-11-04

Competitor

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City FREMONT
Zip Code 68025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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