NPI 1982719795 · live from the CMS NPI Registry
Praveen P. Fernandes, M.D.
Psychiatry & Neurology, Psychiatry in Omaha, NE. National Provider Identifier 1982719795, active.
NPI record
| NPI | 1982719795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 3528 Dodge St, Omaha, NE 68131 |
| Practice phone | 402-345-8828 |
| Mailing address | 2500 California Plz, Omaha, NE 68178 |
| Enumerated | August 20, 2006 |
| Last updated | July 28, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 21637 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.