Individual
DR. KATIKANENI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4100
(212) 423-4572
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
133463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01785840
—
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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