Provider Demographics
NPI:1154112852
Name:BISWA, MANI RAM
Entity type:Individual
Prefix:
First Name:MANI
Middle Name:RAM
Last Name:BISWA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6314 BOYD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2681
Mailing Address - Country:US
Mailing Address - Phone:701-317-8609
Mailing Address - Fax:
Practice Address - Street 1:6314 BOYD ST APT 5
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2681
Practice Address - Country:US
Practice Address - Phone:701-317-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide