Healthcare Provider Details

I. General information

NPI: 1962854307
Provider Name (Legal Business Name): MUHAMMAD KHURRAM GUHJJAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY RD STE 426
OMAHA NE
68124-2323
US

IV. Provider business mailing address

7710 MERCY RD STE 426
OMAHA NE
68124-2323
US

V. Phone/Fax

Practice location:
  • Phone: 402-343-8650
  • Fax: 402-343-8655
Mailing address:
  • Phone: 402-343-8650
  • Fax: 402-343-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD-54371
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number21150
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberCP1322
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number042-0017425
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: