Rao Prasad Immaneni
M.D. | Pediatrics | Male
Rao Prasad Immaneni, M.D. is a Statesboro, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Rao Prasad Immaneni is
1230 Brampton Ave, Statesboro, Georgia - 30458-0849. He can be contacted on phone at
912-489-5437 and fax number 912-489-5550.
Rao Prasad Immaneni is a sole proprietor of his business.
NPI number (Unique professional ID) for Rao Prasad Immaneni is
1720196520 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 11 May, 2009.
Rao Prasad Immaneni license number is
044756 for Pediatrics (208000000X) in Georgia.
Rao Prasad Immaneni is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Rao Prasad Immaneni basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Rao Prasad Immaneni |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Rao Prasad Immaneni address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1230 Brampton Ave
Statesboro, GA, 30458-0849
United States |
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| Phone Number : | 912-489-5437 |
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| Fax Number : | 912-489-5550 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720196520 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 11 May, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rao Prasad Immaneni are as mentioned. Primary taxonomy code for Rao Prasad Immaneni, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 044756 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Rao Prasad Immaneni such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000798377A | Other | GA | PEACH STATE ID |
| 336225 | Other | GA | WELLCARE |
| 598970 | Other | GA | BLUE CROSS BLUE SHIELD |
| 0007241193 | Other | GA | AETNA |
| 1917290 | Other | GA | CCN/FIRST HEALTH |
| 000798377A | MEDICAID | GA | |
| 10057735 | Other | GA | AMERIGROUP PROVIDER ID |
| 2263921 | Other | GA | UNITED HEALTH CARE |
| 5261615 | Other | GA | CIGNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1039
Statesboro, GA, 30459-1039
United States |
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| Phone Number : | 912-489-5437 |
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| Fax Number : | 912-489-5550 |
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Business Location:
Patients can refer following map for directions to
Rao Prasad Immaneni practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.