Buragadda, Avdesh R
Buragadda, Avdesh R is an individual health care provider with primary practice located at 7500 Mercy Rd , Omaha NE 68124-2319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Buragadda, Avdesh R can be contacted via phone (855) 524-4001.Contact Information
Primary practice address
7500 Mercy Rd
Omaha NE 68124-2319
Phone: (855) 524-4001
Fax: (402) 398-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301090536 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD-43105 | Iowa |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27298 | Nebraska |
Profile Details
| NPI number | 1295935864 |
|---|---|
| LBN Legal business name | Buragadda, Avdesh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jun 15th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295935864 | NPPES |
| Nebraska | Other | 098611129 | MEDICARE PTAN |
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