Ponamgi, Shiva Pavan

Ponamgi, Shiva Pavan is an individual health care provider with primary practice located at 7500 Mercy Rd , Omaha NE 68124-2319. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ponamgi, Shiva Pavan can be contacted via phone (402) 398-5880.

Contact Information

Primary practice address
7500 Mercy Rd Omaha NE 68124-2319
Phone: (402) 398-5880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57047 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36422 Nebraska
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 57047 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PERMIT ONLY New Jersey

Profile Details

NPI number 1669743118
LBN Legal business name Ponamgi, Shiva Pavan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2012
Last updated Jul 7th, 2024 - about 2 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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