Rao Prasad Immaneni, M.D.

NPI #1720196520 in Statesboro, Georgia

Provider Information

NPI Number
1720196520
Entity Type
Individual
Name
Rao Prasad Immaneni, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Aug 29, 2006
Last Updated
May 11, 2009

Practice Location

Address
1230 BRAMPTON AVE
State
Georgia
ZIP Code
30458-0849
Phone
(912) 489-5437

Specialties & Taxonomy Codes

Specialty
Pediatrics

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