GANGADASU REDDY (NPI# 1366739625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366739625 |
| Entity Type | Individual |
| Full Name | GANGADASU REDDY |
| Credential | MD, MS |
| Practice Address |
601 N 30th St Omaha NE 68131-2128 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4027170820 |
| Practice Fax Number | 4027176061 |
| Mailing Telephone | 4023986248 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
27905 | NE | Allopathic & Osteopathic Physicians |
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
27905 | NE | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
27905 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THE MEDICAL BOARD OF CALIFORNIA | A104713 | 01 |
| Street Address |
601 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627036 | Blanca Lucia Marky | Psychiatry & Neurology | 601 N 30th St, Suite 5300, Omaha, NE 68131-2137 | 2005-05-24 |
| 1528503851 | Steffany J Chedel | Registered Nurse | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1205371572 | Allyson K Doerr | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1467909655 | Teresa Champion | Nurse Practitioner | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-06 |
| 1750837910 | Muhammad Adil Mumtaz | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-08-28 |
| 1730632894 | Abhishek Thandra | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-25 |
| 1265885370 | Ankit Verma | Surgery | 601 N 30th St, Cu Department of Surgery, Omaha, NE 68131-2128 | 2016-07-13 |
| 1225480650 | Danielle Flores | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-11 |
| 1649622333 | Mateo Cindric | Family Medicine | 601 N 30th St, Cu - Department of Family Medicine, Omaha, NE 68131-2128 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.