NPI 1669743118 · live from the CMS NPI Registry
Shiva Pavan Ponamgi, M.D.
Internal Medicine, Cardiovascular Disease in Omaha, NE. National Provider Identifier 1669743118, active.
NPI record
| NPI | 1669743118 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 7500 Mercy Rd, Omaha, NE 68124 |
| Practice phone | 402-398-5880 |
| Enumerated | January 14, 2012 |
| Last updated | July 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 57047 (MN) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 36422 (NE) |
| Hospitalist | 208M00000X | 57047 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | PERMIT ONLY (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.