Provider Demographics
NPI:1902992399
Name:KORPAS, DENES (MD)
Entity Type:Individual
Prefix:
First Name:DENES
Middle Name:
Last Name:KORPAS
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 1:7440 S 91ST ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-9797
Mailing Address - Country:US
Mailing Address - Phone:402-489-6555
Mailing Address - Fax:402-328-3770
Practice Address - Street 1:7440 S 91ST ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9797
Practice Address - Country:US
Practice Address - Phone:402-489-6555
Practice Address - Fax:402-328-3770
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21654207RC0000X, 207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47070592305Medicaid
NE47070592301Medicaid
NE10026072300Medicaid
NE10026072500Medicaid
OH2454928Medicaid
NE47070592300Medicaid
NE47070592306Medicaid
KS100398510AMedicaid
NE47070592302Medicaid
IA0567594Medicaid
NE10026072200Medicaid
NE10026072400Medicaid
NE10026072000Medicaid
NE10026072600Medicaid
NE47070592313Medicaid
NE47070592301Medicaid
NE47070592305Medicaid
NE47070592306Medicaid
NE47070592313Medicaid
NE10026072000Medicaid
NE110221191Medicare PIN