Provider Demographics
NPI:1144109588
Name:BISWAKARMA, SHIVA KUMAR
Entity type:Individual
Prefix:
First Name:SHIVA
Middle Name:KUMAR
Last Name:BISWAKARMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 BOYD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2558
Mailing Address - Country:US
Mailing Address - Phone:402-968-0776
Mailing Address - Fax:
Practice Address - Street 1:6518 BOYD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2509
Practice Address - Country:US
Practice Address - Phone:402-968-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide