Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 30732 | NE |
N | 2084N0600X | Clinical Neurophysiologist | MD457900 | PA |
NPI | 1013251057 |
---|---|
Provider Name | Mr. Arun Swaminathan |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68131-2813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 18/11/2018 |