Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME88019 | FL |
NPI | 1033169859 |
---|---|
Provider Name | Dinesh S Rao |
First Address | Oxford, FL 34484-2951 |
Second Address | Ocala, FL 34471-8215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
71145 | BCBS (01) | FL |
H93248 | (02) | FL |