Provider Demographics
NPI:1578443909
Name:GAZMER, SANTA KUMAR
Entity type:Individual
Prefix:
First Name:SANTA
Middle Name:KUMAR
Last Name:GAZMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SANTA
Other - Middle Name:
Other - Last Name:BISWAKARMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5002 N 161ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-6441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5002 N 161ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-6441
Practice Address - Country:US
Practice Address - Phone:402-671-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide