Individual
DR. DESAI G KRISHNA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12959 PALMS WEST DR, SUITE 230, LOXAHATCHEE, FL 33470-4937
(561) 790-2258
(561) 791-7489
Mailing address
12959 PALMS WEST DR, SUITE 230, LOXAHATCHEE, FL 33470-4937
(561) 790-2258
(561) 791-7489
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35044946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439145
—
OH
Enumeration date
09/22/2005
Last updated
08/26/2013
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