Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD424592 | PA |
Y | 207VG0400X | Gynecologist | 068605 | GA |
NPI | 1144268095 |
---|---|
Provider Name | Rama K Rao |
First Address | Lawrenceville, GA 30046-4317 |
Second Address | Atlanta, GA 30342-1626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 12/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003133951A | (05) | GA |
003133951B | (05) | GA |
003133951C | (05) | GA |
003133951D | (05) | GA |
101394136 | (05) | PA |
1583684 | GATEWAY-WMG (01) | PA |
414474 | UPMC-WMG (01) | PA |
414831201 | (05) | MD |
711589 | HIGHMARK BLUE SHIELD-WMG (01) | PA |
917882 | CAREFIRST MD BCBS -WMG (01) | MD |