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Individual

RAMAKRISHNA SAI GORANTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, MD

Contact information

Practice address
42ND AND EMILE, OMAHA, NE 68198-1009
(402) 559-4000
Mailing address
42ND AND EMILE, OMAHA, NE 68198-0001
(402) 559-0995

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01086460A
IN
207RI0011X
Interventional Cardiology Physician
Primary
36066
NE

Other

Enumeration date
07/06/2012
Last updated
09/17/2024
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