=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629508817
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SNEGHA ANANTH MBBS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2017
-----------------------------------------------------
Last Update Date | 10/10/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 986840 NEBRASKA MEDICAL CENTER
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68198-3901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-559-5600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 986840 NEBRASKA MEDICAL CENTER
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68198-6840
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-559-5600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 36343
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------