Individual
NISHA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
2700 UNIVERSITY SQUARE DR, RADIOLOGY ASSOC OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
(813) 254-4597
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 107054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002241000
—
FL
05
—
02965988
—
NY
05
—
120449
—
AL
Enumeration date
09/11/2007
Last updated
01/09/2025
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