Shah, Inaganti Mastan

Shah, Inaganti Mastan is an individual health care provider with primary practice located at 6901 N 72Nd St Suite 2244, Omaha NE 68122-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shah, Inaganti Mastan can be contacted via phone (402) 572-3535.

Contact Information

Primary practice address
6901 N 72Nd St Suite 2244 Omaha NE 68122-1709
Fax: (402) 572-2688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 21140 Nebraska
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 33127 Iowa

Profile Details

NPI number 1295829042
LBN Legal business name Shah, Inaganti Mastan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 10th, 2013 - about 12 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 1295829042 NPPES
Iowa MEDICAID 0538751
Iowa MEDICAID 47077065413
Iowa Other 830005301
Iowa Other P00325300
Iowa Other 830007286

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