person
Rao Prasad Immaneni, MD
Pediatrics Physician in Statesboro, Georgia
NPI 1720196520

Rao Prasad Immaneni is a Pediatrics Physician based in Statesboro, GA. Rao Prasad Immaneni practices in Statesboro, GA and has the professional credentials of MD. The NPI Number for Rao Prasad Immaneni is 1720196520 and holds a License No. 044756 (Georgia).

The current practice location address for Rao Prasad Immaneni is 1230 Brampton Ave, Statesboro, GA and can be reached out via phone at 912-489-5437 and via fax at 912-489-5550. You can also correspond with Rao Prasad Immaneni through the mailing address at PO BOX 1039, STATESBORO, GA - 30459-1039 (mailing address contact number: 912-489-5437).

Location: 1230 Brampton Ave, Statesboro, GA, 30459-1039
person
Provider Profile Details
NPI Number
1720196520
Provider Name
Rao Prasad Immaneni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1230 Brampton Ave, Statesboro, GA, 30459-1039
Phone Number
912-489-5437
Fax Number
912-489-5550
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000798377A 01 GA PEACH STATE ID
2263921 01 GA UNITED HEALTH CARE
598970 01 GA BLUE CROSS BLUE SHIELD
1917290 01 GA CCN/FIRST HEALTH
5261615 01 GA CIGNA
0007241193 01 GA AETNA
000798377A 05 GA
10057735 01 GA AMERIGROUP PROVIDER ID
336225 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
1230 Brampton Ave
City
State
Zip
30458-0849
Phone Number
912-489-5437
Fax Number
912-489-5550
person
Provider Business Mailing Address Details
Address
1230 Brampton Ave
City
State
Zip
30458-0849
Phone Number
912-489-5437
Fax Number
912-489-5550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
044756 (Georgia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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