Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 1649061 | NY |
N | 2080P0202X | Pediatric Cardiologist | 1649061 | NY |
NPI | 1023098308 |
---|---|
Provider Name | Dr. Sudha M Rao |
First Address | Brooklyn, NY 11203 |
Second Address | Brooklyn, NY 11203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |