Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 252001 | NY |
NPI | 1023130101 |
---|---|
Provider Name | Dr. Maya Kuthethur Rao |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 18/06/2009 |