Organization
BAY REGIONAL & INTL INST. OF NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHAKRISHNA K. RAO M.D. (PRESIDENT)
(813) 876-3783
Entity
Organization
Contact information
Practice address
2508 W. SAINT ISABEL STREET, SUITE A, TAMPA, FL 33607-6380
(813) 876-3783
(813) 876-2525
Mailing address
2508 W. SAINT ISABEL STREET, SUITE A, TAMPA, FL 33607-6380
(813) 876-3783
(813) 876-2525
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375370100
—
FL
Enumeration date
04/04/2006
Last updated
10/07/2008
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