Individual
DR. JAHNAVI KOPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-9800
(402) 717-6068
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.053911
IL
207RG0100X
Gastroenterology Physician
Primary
26739
NE
207RG0100X
Gastroenterology Physician
ME158231
FL
Other
Enumeration date
07/11/2008
Last updated
10/19/2022
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