Healthcare Provider Details

I. General information

NPI: 1497851547
Provider Name (Legal Business Name): DAVID L SAMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 16TH ST SUITE 240
LINCOLN NE
68502-3796
US

IV. Provider business mailing address

2222 S 16TH ST SUITE 240
LINCOLN NE
68502-3796
US

V. Phone/Fax

Practice location:
  • Phone: 402-323-7260
  • Fax: 402-323-7266
Mailing address:
  • Phone: 402-323-7260
  • Fax: 402-323-7266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number18730
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number29298
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: