Individual
ANAMIKA MINAMPALLY NAGAVENDER RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 293-5151
(972) 981-3967
Mailing address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 293-5151
(972) 981-3967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125049816
IL
207R00000X
Internal Medicine Physician
Primary
N3893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121792
—
IL
01
—
P00725699
RR MEDICARE PTAN
IL
Enumeration date
06/05/2008
Last updated
07/18/2013
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