Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G0803 | TX |
NPI | 1033285697 |
---|---|
Provider Name | Seshagiri A Rao |
First Address | Plano, TX 75093-8827 |
Second Address | Plano, TX 75093-8827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 19/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C20861 | (02) | TX |