Provider Demographics
NPI:1487804902
Name:NAHATA, ANKIT (MD)
Entity type:Individual
Prefix:
First Name:ANKIT
Middle Name:
Last Name:NAHATA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3157 FARNAM ST
Mailing Address - Street 2:APARTMENT 7316
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3553
Mailing Address - Country:US
Mailing Address - Phone:309-868-7063
Mailing Address - Fax:
Practice Address - Street 1:985300 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5300
Practice Address - Country:US
Practice Address - Phone:402-943-5515
Practice Address - Fax:402-559-8210
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125054822207R00000X
NE6445207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine