Pooja Dipak Rao
Internist Endocrinologist (Diabetes Doctor)
4610 Country Club Rd
Winston Salem
, North Carolina 27104-3520
Pooja Dipak Rao
Internist Endocrinologist (Diabetes Doctor)
4610 Country Club Rd
Winston Salem
, North Carolina 27104-3520
(201) 786-8189
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Pooja Dipak Rao
- 4100 New Hermitage Dr
- Henrico, VA
- Zip : 23228-2783
- Phone : (201) 786-8189
Second Address
- Pooja Dipak Rao
- 4610 Country Club Rd
- Winston Salem, NC
- Zip : 27104-3520
- Phone : (336) 716-2255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 192229 | NC |
| N | 111NI0900X | Internist | 192229 | NC |
| N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0116028928 | VA |
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2020-04462 | NC |
National Provider Identifier
| NPI | 1013352376 |
|---|---|
| Provider Name | Pooja Dipak Rao |
| First Address | Henrico, VA 23228-2783 |
| Second Address | Winston Salem, NC 27104-3520 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2013 |
| Last Update Date | 10/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013352376 | NPI (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.