Individual
ABIGAIL JUSTINE RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 205, LOUISVILLE, KY 40241-2847
(502) 394-6390
(502) 394-6388
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
51563
KY
207T00000X
Neurological Surgery Physician
A146390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100569370
—
KY
01
—
K270630
MEDICARE
KY
Enumeration date
03/31/2010
Last updated
10/27/2020
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