Individual
RAO GUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N 162ND AVE STE 300, OMAHA, NE 68118-2540
(402) 354-1200
(402) 354-1205
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
22774
NE
2086S0129X
Vascular Surgery Physician
D0062067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02736
BCBS NE
NE
05
—
0720946
—
IA
01
—
250374
MIDLANDS CHOICE
NE
01
—
25640
BCBS IA
IA
01
—
4707367990009
UPREHS
NE
01
—
P00320937
RAILROAD
NE
Enumeration date
06/06/2006
Last updated
04/21/2025
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