Doctor profile · Federal record
Dr. Rao Immaneni, M.D.
Pediatrics Physician · Statesboro, GA
- NPI 1720196520
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1230 Brampton Ave
Statesboro, GA 304580849
(912) 489-5437
fax (912) 489-5550 - Mailing address
-
Po Box 1039
Statesboro, GA 304591039
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- May 11, 2009
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #044756
- Medicaid
- GA #000798377A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720196520. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 1 | $24.87 |
By nature of payment
Frequently asked questions
What is Dr. Rao Immaneni's medical specialty?
Dr. Rao Immaneni practices Pediatrics Physician in Statesboro, GA.
Where does Dr. Rao Immaneni practice?
Dr. Rao Immaneni practices at 1230 Brampton Ave, Statesboro, GA 304580849. Office phone: 9124895437.
What is Dr. Rao Immaneni's NPI?
Dr. Rao Immaneni's National Provider Identifier (NPI) is 1720196520, issued by NPPES.