Individual
RENUGA VIVEKANANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF NEBRASKA, 982055 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-0001
(402) 559-7792
(402) 559-9385
Mailing address
1012 DOUGLAS ST, 503, OMAHA, NE 68102-1860
(312) 543-9940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5613
NE
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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