Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 27437 | NE |
N | 111NI0900X | Internist | 27437 | NE |
Y | 207RI0200X | Infectious Disease | 27437 | NE |
NPI | 1013226919 |
---|---|
Provider Name | Manasa Velagapudi |
First Address | Omaha, NE 68124-2311 |
Second Address | Omaha, NE 68124-2350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2010 |
Last Update Date | 01/08/2017 |