Individual
PRASANTH RAVIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 S 40TH ST, OMAHA, NE 68131-3003
(402) 559-3939
(402) 595-3898
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30286
NE
207R00000X
Internal Medicine Physician
7232
NE
207RN0300X
Nephrology Physician
Primary
67537
MN
Other
Enumeration date
06/17/2014
Last updated
08/11/2020
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