IndividualActive
Prasanna Kumar Gangishetti, MBBS
NPI 1396268223 · Neurology with Special Qualifications in Child Neurology Physician · Omaha, NE
Provider details
- NPI number
- 1396268223
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- License
- 35547 (NE)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 35547 (NE)
Allopathic & Osteopathic Physicians
Practice location
8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 955-5400
Approximate (ZIP-level) locationGet directions
Mailing address
8200 Dodge St
Omaha, NE 68114-4113
Registry dates
- Enumerated
- 2017-07-23
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.