Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JENOM GANDU
Active Sole ProprietorMR. JENOM GANDU is a Contractor healthcare provider located in LINCOLN, Nebraska. NPI 1033929989 is currently active in the NPPES registry. Verify at CMS.
Contractor · LINCOLN, NE
Registration Details
- NPI Number
- 1033929989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2025 (1.5820056645776 yrs)
- Last Updated
- Jan 13, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4920 S 65TH STLINCOLN, NE, 685161906Browse NE providers · Browse ZIP 68516
- Phone
- 4027308738
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in LINCOLN, NE
| Name | Credential | NPI |
|---|---|---|
| ANGILA CISNEROS | — | 1346605235 |
| MR. JAMES DEDRICKSON | — | 1124836150 |
| AUDREY M SIMMONS | — | 1699583138 |
| EMILY ANN SCHWANKE | — | 1023829850 |
| AMBER MCMILLAN | — | 1962215905 |
| CHRISTOPHER DAMIAN MEDINA | — | 1407660244 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.