Individual
DR. NAGARAJ S.L. RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 MAIN DR, NORTH WARREN, PA 16365-5001
(814) 726-4317
(814) 726-4447
Mailing address
3 PINE LN, BOX 1056, RUSSELL, PA 16345-1217
(814) 757-8355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD032560E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080037545
RAILROAD MEDICARE #
—
Enumeration date
07/06/2006
Last updated
05/15/2008
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