Individual
SAMPATH KUMAR POREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-9800
(402) 717-6068
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2009018576
MO
207RG0100X
Gastroenterology Physician
Primary
32276
NE
207RG0100X
Gastroenterology Physician
35.121458
OH
390200000X
Student in an Organized Health Care Education/Training Program
2006016389
MO
390200000X
Student in an Organized Health Care Education/Training Program
57.018705
OH
Other
Enumeration date
06/10/2007
Last updated
03/27/2020
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