DR. KRISHNA GUNDABOLU (NPI# 1710250899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710250899 |
| Entity Type | Individual |
| Full Name | DR. KRISHNA GUNDABOLU |
| Credential | M.D. |
| Practice Address |
987680 Nebraska Medical Ctr Omaha NE 68198-7680 |
| Mailing Address |
987680 Nebraska Medical Center Omaha NE 68198-6520 |
| Practice Telephone | 4025598052 |
| Practice Fax Number | 4025596520 |
| Mailing Telephone | 4025598052 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
27263 | NE | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
55639 | MN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
106238 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| IA | ENROLLED | 05 | |
| SD | ENROLLED | 05 |
| Street Address |
987680 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-7680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961484 | Timothy Hancock Dorius | Internal Medicine | 987680 Nebraska Medical Ctr, Omaha, NE 68198-7680 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407379852 | Saboor Ejaz Randhawa | Internal Medicine | 986840 Nebraska Medical Center, Unmc Dept of Ocology/hematology, Omaha, NE 68198-6840 | 2017-07-18 |
| 1659327641 | Midwest Hematology Oncology Specialist, P.C. | Internal Medicine | 7911 W Center Rd, Omaha, NE 68124-3104 | 2006-05-25 |
| 1184604993 | Laxmi Narayana Raju Buddharaju | Internal Medicine | 505 S. 48th St, Omaha, NE 68198-0001 | 2006-01-18 |
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1619279312 | Urology Cancer Center PC | Internal Medicine | 17607 Gold Plz, #101, Omaha, NE 68130-5606 | 2010-12-01 |
| 1760612113 | Vijaya Raj Bhatt | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2009-07-20 |
| 1073686812 | Hematology & Oncology Consultants, PC | Internal Medicine | 6901 N 72nd St, Suite 2244, Omaha, NE 68122-1709 | 2006-11-17 |
| 1366513517 | Hematology & Oncology Consultants, PC | Internal Medicine | 6901 N 72nd St, Suite 2244, Omaha, NE 68122-1709 | 2006-11-10 |
| 1295829042 | Inaganti Mastan Shah | Internal Medicine | 6901 N 72nd St, Suite 2244, Omaha, NE 68122-1709 | 2006-10-03 |
| 1568556314 | Abraham Philip Mathews | Internal Medicine | 6901 N 72nd St, Suite 2244, Omaha, NE 68122-1709 | 2006-10-03 |
| Find all providers in OMAHA | ||||
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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.