Individual
DR. PRAVEENA VANTIPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
500 W LEOTA ST STE 100, NORTH PLATTE, NE 69101-6578
(308) 534-4440
Mailing address
500 W LEOTA ST STE 100, NORTH PLATTE, NE 69101-6578
(308) 534-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34072
NE
207Q00000X
Family Medicine Physician
8507
NE
Other
Enumeration date
06/13/2019
Last updated
01/04/2023
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