Healthcare Provider Details

I. General information

NPI: 1801644703
Provider Name (Legal Business Name): DAN SAMANI ORTHOPAEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 KIMBALL AVE STE 345
MANHATTAN KS
66502
US

IV. Provider business mailing address

4208 MACGILLIVRAY DR
MANHATTAN KS
66503-2648
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-4900
  • Fax:
Mailing address:
  • Phone: 402-499-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL J SAMANI
Title or Position: MEMBER
Credential: MD
Phone: 402-499-3100