Individual
ANAMIKA MINAMPALLY NAGAVENDER RAO
Active
Individual
ANAMIKA MINAMPALLY NAGAVENDER RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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