Individual
VISHWAJETH B BHOOPALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6940 VAN DORN ST STE 201, LINCOLN, NE 68506
(402) 414-4200
Mailing address
4830 THOMASBROOK LN, LINCOLN, NE 68516-6702
(402) 450-1995
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
21757
NE
207RI0011X
Interventional Cardiology Physician
92434
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070592313
—
NE
05
—
O566638
—
IA
Enumeration date
07/20/2006
Last updated
06/10/2024
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