Provider Demographics
NPI:1366491268
Name:MARGALIT, EYAL (MD, PHD)
Entity Type:Individual
Prefix:
First Name:EYAL
Middle Name:
Last Name:MARGALIT
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12756 NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1278
Mailing Address - Country:US
Mailing Address - Phone:671-647-5382
Mailing Address - Fax:671-647-5385
Practice Address - Street 1:415 CHALAN SAN ANTONIO
Practice Address - Street 2:SUITE 214
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-647-5382
Practice Address - Fax:671-647-5385
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM-1878207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47078557541Medicaid
NEH91988Medicare UPIN
NE47078557541Medicaid