Individual
DR. BALAKRISHNA MOHAN RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 798-5931
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(813) 846-7677
(615) 225-5381
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME34168
FL
Other
Enumeration date
07/26/2006
Last updated
02/05/2019
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