Healthcare Provider Details

I. General information

NPI: 1295942530
Provider Name (Legal Business Name): SWETHA SIDDAPPA YADAV MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 22ND AVE
KEARNEY NE
68845-2487
US

IV. Provider business mailing address

4101 TIGER LILY RD STE 100
LINCOLN NE
68516-5587
US

V. Phone/Fax

Practice location:
  • Phone: 308-296-5000
  • Fax: 402-420-6969
Mailing address:
  • Phone: 402-420-7000
  • Fax: 402-420-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number36994
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberP4271
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: