Provider Demographics
NPI:1962687756
Name:DAVID L. SAMANI, MD, INC.
Entity Type:Organization
Organization Name:DAVID L. SAMANI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-323-7260
Mailing Address - Street 1:2222 SOUTH 16TH STREET
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3764
Mailing Address - Country:US
Mailing Address - Phone:402-323-7260
Mailing Address - Fax:402-323-7266
Practice Address - Street 1:2222 SOUTH 16TH STREET
Practice Address - Street 2:SUITE 240
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3764
Practice Address - Country:US
Practice Address - Phone:402-323-7260
Practice Address - Fax:402-323-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200593640BMedicaid
KS200593640AMedicaid
KS200593640AMedicaid
KS200593640BMedicaid
NE=========00Medicaid
KS057379Medicare PIN