Individual
DR. JYOTSNA S RANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 S 75TH ST, OMAHA, NE 68124-2475
(402) 398-5713
(402) 398-5713
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22191
NE
2084P0804X
Child & Adolescent Psychiatry Physician
48059
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001413806
—
CT
Enumeration date
09/07/2006
Last updated
09/09/2019
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