Individual
DR. PRASANNA KUMAR GANGISHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R4398
KY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35547
NE
Other
Enumeration date
07/23/2017
Last updated
03/31/2026
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