Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD043446 | DC |
NPI | 1336193358 |
---|---|
Provider Name | Dr. Raj Rao |
First Address | Washington, DC 20037-1434 |
Second Address | Washington, DC 20037-1434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 21/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G00383 | (02) | DC |