Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAO PRASAD IMMANENI, M.D.
Active Sole ProprietorRAO PRASAD IMMANENI, M.D. is a Pediatrics healthcare provider located in STATESBORO, Georgia. NPI 1720196520 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · STATESBORO, GA
Registration Details
- NPI Number
- 1720196520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.974422546612 yrs)
- Last Updated
- May 11, 2009
- License
-
044756 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1230 BRAMPTON AVESTATESBORO, GA, 304580849Browse GA providers · Browse ZIP 30458
- Phone
- 9124895437
- Fax
- 9124895550
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| CHERYL E PERKINS | MD | 1699744623 |
| DR. PAUL AUSTIN WHITLOCK III | M.D. | 1649222035 |
| MICHELLE R ZEANAH | M.D. | 1013931617 |
| DR. FRANCES ELIZABETH LOGAN PENN | M.D, M.S.P.H. | 1447340773 |
| DR. CINDY O'BRYANT GARTMOND | M.D. | 1457441644 |
| DR. DANIEL M FELDMAN | M.D. | 1902977853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.