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Individual

DR. ADDAGADA C RAO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4439
(718) 418-5900
(718) 418-4368
Mailing address
145 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4439
(718) 418-5900
(718) 418-4368

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
111527
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00200826
NY
01
90431
AETNA
01
D5087
OXFORD
Enumeration date
10/07/2005
Last updated
07/08/2007
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