Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | ME107363 | FL |
Y | 207WX0107X | Retina Specialist | 036128385 | IL |
NPI | 1073657474 |
---|---|
Provider Name | Rumya Rao |
First Address | Niles, IL 60714 |
Second Address | Niles, IL 60714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2007 |
Last Update Date | 02/08/2019 |