Whalio Doctors

NPI 1154495125

Soubrata V Raikar, MD

Practitioner Interventional Pain Medicine Physician Fremont, NE

Practice location

Address
1439 E 23rd St, Fremont, NE 68025-2433
Phone
(402) 721-8895
Fax
(402) 721-6663

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 21157 (NE)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 21157 (NE)

Registry record

NPI
1154495125
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Nov 2006
Record last updated
1 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.