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Contact Information

GORDON R NIAMATALI, MD
2620 WEST FAIDLEY
GRAND ISLAND, NE68803
 Phone: 308-384-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for GORDON R NIAMATALI · (Male)

NPI Number 1366520066
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 04/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H5015
  • LA Medicaid 1473502
  • MS Medicaid 09251809
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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