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Contact Information

SOUBRATA V RAIKAR, MD
1439 E 23RD ST
FREMONT, NE68025-2433
 Phone: 402-721-8895
 Fax: 402-721-6663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SOUBRATA V RAIKAR · (Male)

NPI # 1154495125
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2006
Last updated 12/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 21157
  • NE Medicaid 10025199800
Hospital affiliation(s)
  • FREMONT AREA MEDICAL CENTER - (Acute Care)
    450 EAST 23RD ST
    FREMONT, NE 68025
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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