Dr. Avyakta Kallam
Hematologist
505 S 48th St
Omaha
, Nebraska 68198-0001
Dr. Avyakta Kallam
Hematologist
505 S 48th St
Omaha
, Nebraska 68198-0001
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Avyakta Kallam
- 988102 Nebraska Medical Ctr
- Omaha, NE
- Zip : 68198-8102
- Phone :
Second Address
- Dr. Avyakta Kallam
- 505 S 48th St
- Omaha, NE
- Zip : 68198-0001
- Fax : (402) 559-6615
- Phone : (402) 559-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 28079 | NE |
National Provider Identifier
| NPI | 1124307327 |
|---|---|
| Provider Name | Dr. Avyakta Kallam |
| First Address | Omaha, NE 68198-8102 |
| Second Address | Omaha, NE 68198-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2011 |
| Last Update Date | 28/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.