Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | P4501 | TX |
N | 207R00000X | Internist | 24241 | NE |
N | 111NI0900X | Internist | 24241 | NE |
Y | 207R00000X | Internist | P4501 | TX |
Y | 111NI0900X | Internist | P4501 | TX |
NPI | 1114057544 |
---|---|
Provider Name | Bhaskar Rao |
First Address | El Paso, TX 79912 |
Second Address | El Paso, TX 79925-7701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 21/10/2021 |