Provider Demographics
NPI:1336160001
Name:ZAVADZKAS, GIUSEPPE (MD)
Entity Type:Individual
Prefix:
First Name:GIUSEPPE
Middle Name:
Last Name:ZAVADZKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2282 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-7233
Mailing Address - Country:US
Mailing Address - Phone:402-563-9224
Mailing Address - Fax:
Practice Address - Street 1:2282 E 32ND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-7233
Practice Address - Country:US
Practice Address - Phone:402-563-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024980200OtherMEDICAID FQHC
NE10025076100Medicaid
NE30924OtherBCBS
NE9232OtherMIDLANDS CHOICE
NE30924OtherBCBS
NEG60587Medicare UPIN