Provider Demographics
NPI:1740420975
Name:NANDIPATI, KALYANA C (MD)
Entity Type:Individual
Prefix:MR
First Name:KALYANA
Middle Name:C
Last Name:NANDIPATI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:SUIT 3700
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-717-4846
Mailing Address - Fax:402-717-6063
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:SUIT 3700
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-717-4846
Practice Address - Fax:402-717-6063
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2014-10-27
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Provider Licenses
StateLicense IDTaxonomies
NE26273208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery