Individual
DR. PRATHIMA JASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8207 NORTHWOODS DR STE 100, LINCOLN, NE 68505-2093
(402) 484-3440
Mailing address
8207 NORTHWOODS DR STE 100, LINCOLN, NE 68505-2093
(402) 484-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050765
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
27796
NE
Other
Enumeration date
06/26/2007
Last updated
04/19/2018
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