Individual
NICKI VITHALANI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
5555 GROSSMONT CENTER DR, ATTN AIM/PALLIATIVE CARE, SAN DIEGO, CA 91942
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
151429
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD467593
PA
Other
Enumeration date
04/11/2015
Last updated
07/28/2025
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