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Individual
RAO S BOTTA
Active
Individual
RAO S BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301070273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4492011
—
MI
Enumeration date
04/04/2006
Last updated
02/14/2014
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