Individual
GAUTAM MADDINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF GASTROENTEROLOGY, OMAHA, NE 68124-2353
(402) 280-4191
Mailing address
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF GASTROENTEROLOGY, OMAHA, NE 68124-2353
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10191
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/05/2022
Last updated
07/06/2025
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