Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 49434 | TN |
N | 207RX0202X | Medical Oncology | L7129 | TX |
NPI | 1174547590 |
---|---|
Provider Name | Dr. Arun R Rao |
First Address | Germantown, TN 38138-3941 |
Second Address | Germantown, TN 38138-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 02/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06806350 | (05) | MS |
103I836550 | MEDICARE (01) | TN |
199498001 | (05) | AR |
318281YJ6C | MEDICARE (01) | MS |
G12568 | (02) | TX |
Q001744 | (05) | TN |