Organization
G.S,RAO,M.D,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORANTLA S RAO M.D (OWNER)
(256) 881-1111
Entity
Organization
Contact information
Practice address
1425 WEATHERLY RD SE, HUNTSVILLE, AL 35803-1178
(256) 881-1111
Mailing address
1425 WEATHERLY RD SE, HUNTSVILLE, AL 35803-1178
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8243
AL
Other
Enumeration date
01/01/2013
Last updated
11/19/2019
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