Raikar, Soubrata V

Raikar, Soubrata V is an individual health care provider with primary practice located at 1439 E 23Rd St , Fremont NE 68025-2433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Raikar, Soubrata V can be contacted via phone (402) 721-8895.

Contact Information

Primary practice address
1439 E 23Rd St Fremont NE 68025-2433
Phone: (402) 721-8895
Fax: (402) 721-6663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21157 Nebraska
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 21157 Nebraska

Profile Details

NPI number 1154495125
LBN Legal business name Raikar, Soubrata V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Dec 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154495125 NPPES
Nebraska MEDICAID 10025199800

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