Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rao Prasad Immaneni, MD

Individual provider Pediatrics Physician · NPI 1720196520

Rao Prasad Immaneni, MD is a Pediatrics Physician in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1230 Brampton Ave
Statesboro, GA 30458-0849
Phone: (912) 489-5437
Fax: (912) 489-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 044756 (GA)

Record details

NPI number1720196520
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESMay 11, 2009

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