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
Mailing address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

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