IndividualActive
Gary Koenig, MD
NPI 1942204656 · Allergy & Immunology Physician · Omaha, NE
Provider details
- NPI number
- 1942204656
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 17844 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Practice location
1120 N 103rd Plz
Suite 102
Omaha, NE 68114-1114
Phone: (402) 354-0120
Fax: (402) 354-0125
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3755
Omaha, NE 68103-0755
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.