Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 9600280 | NC |
NPI | 1023070745 |
---|---|
Provider Name | Dr. T Hemanth Rao |
First Address | Charlotte, NC 28204-4308 |
Second Address | Charlotte, NC 28204-4308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130013323 | RAILROAD MEDICARE (01) | |
70038 | BCBSNC (01) | NC |
8970038 | (05) | NC |
G02546 | (02) | |
N00280 | (05) | SC |