Provider Demographics
NPI:1851547236
Name:NEBRASKA CARDIAC CARE, PC
Entity Type:Organization
Organization Name:NEBRASKA CARDIAC CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALFITY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-315-3788
Mailing Address - Street 1:PO BOX 24223
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-0223
Mailing Address - Country:US
Mailing Address - Phone:402-315-3788
Mailing Address - Fax:402-614-1033
Practice Address - Street 1:339 N 78TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3640
Practice Address - Country:US
Practice Address - Phone:402-315-3788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-17
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty