Individual
GANGADASU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2128
(402) 717-0820
(402) 717-6061
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
27905
NE
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
27905
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
27905
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104713
THE MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/06/2011
Last updated
01/28/2016
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