| Ra Neurological, P.c. | |
|
11930 Arbor St Suite 200 Omaha NE 68144-2998 | |
| (402) 697-1601 | |
| (402) 697-5007 |
| Full Name | Ra Neurological, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11930 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Richard Valenson Andrews (PRESIDENT) |
| Authorized Official Contact | 4026971601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ra Neurological, P.c. 11930 Arbor St Suite 200 Omaha NE 68144-2998 Ph: (402) 697-1601 | Ra Neurological, P.c. 11930 Arbor St Suite 200 Omaha NE 68144-2998 Ph: (402) 697-1601 |
| NPI Number | 1720009681 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901945864 |
|---|---|
| Medicare Enrollment ID | O20091207000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720009681 | NPI | - | NPPES |
| 16475 | Other | NE | STATE LICENSE NUMBER |
| 0984229 | Other | IA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 16475 (Nebraska) | Primary |
| Provider Name | Richard V Andrews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425288 PECOS PAC ID: 6002955960 Enrollment ID: I20091207000044 |
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