Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A32269 | CA |
N | 208600000X | Surgeon | A32269 | CA |
N | 2086S0120X | Pediatric Surgery | A32269 | CA |
Y | 2086S0129X | Vascular Surgeon | A32269 | CA |
N | 208C00000X | Colorectal Surgeon | A32269 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | A32269 | CA |
NPI | 1003902081 |
---|---|
Provider Name | Rao Venkateswara Daluvoy |
First Address | Barstow, CA 92311-2406 |
Second Address | Barstow, CA 92311-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 21/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A322690 | (05) | CA |
020049944 | RAILROAD (01) | CA |
A26744 | (02) | CA |