Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 29590 | NE |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | R-8861 | IA |
NPI | 1588983266 |
---|---|
Provider Name | Mr. Amandeep Singh Mahal |
First Address | Omaha, NE 68114-4762 |
Second Address | Omaha, NE 68114-4762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 17/03/2018 |