Provider Demographics
NPI:1073551727
Name:AROUNI, MARTHA (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:AROUNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10020 NICHOLAS ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2189
Mailing Address - Country:US
Mailing Address - Phone:402-397-8040
Mailing Address - Fax:402-397-8558
Practice Address - Street 1:10020 NICHOLAS ST
Practice Address - Street 2:SUITE 105
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2189
Practice Address - Country:US
Practice Address - Phone:402-397-8040
Practice Address - Fax:402-397-8558
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17283207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0969568Medicaid
NE47075927913Medicaid
NE628OtherMIDLANDS CHOICE
NV288920900OtherUS DEPT OF LABOR
NE30895OtherBCBS
NE30895OtherBCBS
E85844Medicare UPIN
NE47075927913Medicaid
NE30895OtherBCBS