Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | NC |
NPI | 1033191143 |
---|---|
Provider Name | Dr. Caroline Lillian Rao |
First Address | Chapel Hill, NC 27517-8914 |
Second Address | Chapel Hill, NC 27517-8914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8913WW | (05) | NC |
BR7818252 | FED DEA (01) | |
H63370 | (02) |