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Individual

DR. KAVYA INDIRA RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2850 N 2000 W STE 101, FARR WEST, UT 84404-9230
(801) 528-5095
(801) 528-5094
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
0101285535
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
12474837-1205
UT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A167664
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD70047599
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2015
Last updated
11/11/2025
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