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Individual

DR. SRINIVAS RAO VUNNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
EMILE @ 42ND STREET, OMAHA, NE 68198-0001
(402) 552-6731
(402) 552-6730
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30767
NE
390200000X
Student in an Organized Health Care Education/Training Program
MT203641
PA

Other

Enumeration date
08/02/2013
Last updated
09/23/2018
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