Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 44585 | AZ |
Y | 2080P0214X | Pediatric Pulmonologist | C54275 | CA |
NPI | 1649222340 |
---|---|
Provider Name | Dr. Aparna R Rao |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-2758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005000261J | HUMANA (01) | |
34257700 | (05) | WI |
628685 | (05) | AZ |
H70285 | (02) |