Individual
MR. KAMALAKAR T RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 NEBRASKA AVENUE, SUITE 9, FORT PIERCE, FL 34950-4837
(772) 465-4499
(772) 466-0832
Mailing address
1900 NEBRASKA AVENUE, SUITE 9, FORT PIERCE, FL 34950-4837
(772) 465-4499
(772) 466-0832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME79203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060056935
RR MCR
—
05
—
258721100
—
FL
01
—
49523
BCBS
—
01
—
7389236
AETNA HMO
—
Enumeration date
08/25/2005
Last updated
07/08/2010
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