Individual provider · Type 1 NPI
Shiva Pavan Ponamgi, MD
Cardiovascular Disease Physician · Omaha, NE
NPI number
1669743118
Active
Practice location
7500 Mercy Rd
Omaha, NE 68124-2319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 57047 (MN) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 36422 (NE) |
| Hospitalist Physician | 208M00000X | 57047 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | PERMIT ONLY (NJ) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1669743118
Shiva Pavan Ponamgi, MD's National Provider Identifier is 1669743118, issued on Jan 14, 2012. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Omaha, NE. The record was last updated on Jul 7, 2024.