Provider Demographics
NPI:1205624566
Name:GURUNG, GANGA BAHADUR
Entity type:Individual
Prefix:
First Name:GANGA
Middle Name:BAHADUR
Last Name:GURUNG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1421
Mailing Address - Country:US
Mailing Address - Phone:402-305-3379
Mailing Address - Fax:
Practice Address - Street 1:9018 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1749
Practice Address - Country:US
Practice Address - Phone:402-763-9605
Practice Address - Fax:402-763-9605
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide