Individual
DR. RUTHRI DIVYA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982055 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2055
(402) 559-4000
Mailing address
7261 MERCY ROAD, ATTN CLINIC CREDENTIALING, OMAHA, NE 68124-2311
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6560
NE
207R00000X
Internal Medicine Physician
MD42973
IA
Other
Enumeration date
06/16/2011
Last updated
02/26/2016
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