Gundabolu, Krishna

Gundabolu, Krishna is an individual health care provider with primary practice located at 987680 Nebraska Medical Ctr , Omaha NE 68198-7680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gundabolu, Krishna can be contacted via phone (402) 559-8052.

Contact Information

Primary practice address
987680 Nebraska Medical Ctr Omaha NE 68198-7680
Phone: (402) 559-8052
Fax: (402) 559-6520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 106238 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 55639 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27263 Nebraska

Profile Details

NPI number 1710250899
LBN Legal business name Gundabolu, Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2012
Last updated Oct 1st, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710250899 NPPES
South Dakota MEDICAID ENROLLED
South Dakota MEDICAID ENROLLED
South Dakota MEDICAID ENROLLED

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