Provider Demographics
NPI:1013358704
Name:VORUGANTI, DINESH CHANDRA (MB,BS; MS)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:CHANDRA
Last Name:VORUGANTI
Suffix:
Gender:M
Credentials:MB,BS; MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982265 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2265
Mailing Address - Country:US
Mailing Address - Phone:402-559-9268
Mailing Address - Fax:
Practice Address - Street 1:982265 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-7101
Practice Address - Country:US
Practice Address - Phone:402-559-9268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD43700207R00000X
IAMD-43700208M00000X
390200000X
NE9569207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program