SAMPATH KUMAR POREDDY

OMAHA, NE
NPI1174726707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
(Licence: NE  32276)
Additional Taxonomies207RG0100X Internal Medicine Gastroenterology
(Licence: OH  35.121458)
207RG0100X Internal Medicine Gastroenterology
(Licence: MO  2009018576)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2006016389)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  57.018705)
Enumeration Date2007-06-10
Last Update Date2020-03-27
Business Address
SAMPATH KUMAR POREDDY MBBS
7710 MERCY RD STE 2000
OMAHA, NE 68124-2323
Phone number: 402-717-9800
Mailing Address
SAMPATH KUMAR POREDDY MBBS
7261 MERCY RD
OMAHA, NE 68124-2311
Phone number: