Individual
SATISH S-C RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34681
IA
207RG0100X
Gastroenterology Physician
Primary
34681
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078527
—
IA
01
—
06030
WELLMARK BCBS
IA
Enumeration date
02/08/2006
Last updated
11/30/2012
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