Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Kodad, PAC

Individual provider Physician Assistant · NPI 1316904600

Andrea Kodad, PAC is a Physician Assistant in Omaha, Nebraska. Licensed in Nebraska and South Carolina. Registered with an NPI since 2006.

Licensed in
NE, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone: (402) 559-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 990 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 1043 (SC)

Record details

NPI number1316904600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESOctober 23, 2012

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