Individual
NAKUL NIRANJAN RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
511 N BROAD ST, APT 704, PHILADELPHIA, PA 19123-3230
(732) 500-7245
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT196194
PA
2086S0129X
Vascular Surgery Physician
Primary
25MA10451600
NJ
Other
Enumeration date
07/05/2011
Last updated
01/05/2022
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