Healthcare Provider Details

I. General information

NPI: 1467444588
Provider Name (Legal Business Name): KAVIR SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 S BURLINGTON AVE STE 108
HASTINGS NE
68901-6928
US

IV. Provider business mailing address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4451
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-7711
  • Fax: 402-461-5099
Mailing address:
  • Phone: 402-460-5836
  • Fax: 402-460-5829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number22678
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: