Provider Demographics
NPI:1366330870
Name:TAMANG, YOGESH
Entity type:Individual
Prefix:
First Name:YOGESH
Middle Name:
Last Name:TAMANG
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 1:15263 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4312
Mailing Address - Country:US
Mailing Address - Phone:402-810-2734
Mailing Address - Fax:402-939-0266
Practice Address - Street 1:11121 N 161ST ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-7511
Practice Address - Country:US
Practice Address - Phone:531-210-1538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide