Dossavi Banka
Individual provider Active NPI Technician · Elkhorn, NE
NPI 1487590295 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1487590295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 19616 Lake PLZ Apt 31
Elkhorn, NE 68022-7968 - Phone
- (402) 452-1067
- Fax
- (402) 452-1067
- NPI assigned
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
19616 Lake PLZ Apt 31
Elkhorn, NE 68022-7968
Mailing address
19616 Lake PLZ Apt 31
Elkhorn, NE 68022-7968
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.