MEDICARE: DR. NADARAJAH SRIKUMAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME93077	FL
2	207RC0000X	Cardiovascular Disease Physician	25728	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2006655820A	OTHER	KS	MCD NE LOCATION

General Provider Information

NPI Number	:	1609860238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADARAJAH SRIKUMAR MD

Provider Business Mailing Address
First Line	:	1600 S 48TH ST
Second Line	:	SUITE 600
City	:	LINCOLN
State	:	NE
Zip	:	68506-1283
Country	:	US
Telephone Number	:	402-483-3333
Fax Number	:	402-483-3297

Provider Business Practice Location Address
First Line	:	4508 38TH ST
Second Line	:	SUITE 165
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-562-4456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	11/11/2011

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