Healthcare Provider Details

I. General information

NPI: 1811524267
Provider Name (Legal Business Name): ANKITA SARAWAGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 N 51ST ST STE 200
OMAHA NE
68132-2831
US

IV. Provider business mailing address

119 N 51ST ST STE 200
OMAHA NE
68132-2831
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-8020
  • Fax: 402-905-3042
Mailing address:
  • Phone: 402-932-8020
  • Fax: 402-905-3042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number36283
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: