Individual
SRIRAM RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CIVIC CENTER BLVD, 11-162 PCAM, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BLVD, 11-162 PCAM, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
LT000798
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD469099
PA
Other
Enumeration date
12/20/2017
Last updated
12/30/2019
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