Individual
RAO VENKATANARAYANA CHUNDURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3902 LEAVENWORTH ST, OMAHA, NE 68105-1119
(402) 559-2020
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31620
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201363250
—
IN
Enumeration date
05/21/2010
Last updated
04/30/2019
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