Individual
VENKATESWARA K RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1501 KINGS HWY, DEPARTMENT OF MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
051813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454851
—
LA
Enumeration date
08/30/2006
Last updated
02/14/2008
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