Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 01069819A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | 01069819A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | A99808 | CA |
NPI | 1811158488 |
---|---|
Provider Name | Dr. Vijay Udyavar Rao |
First Address | Detroit, MI 48278-1479 |
Second Address | Indianapolis, IN 46237-6345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 17/03/2021 |