Individual
DR. DEVAGUPTAPU BHASKAR RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CENTURIAN DR, SUITE 307, NEWARK, DE 19713-2137
(302) 543-8100
(302) 543-8905
Mailing address
1 CENTURIAN DR, SUITE 307, NEWARK, DE 19713-2137
(302) 543-8100
(302) 543-8905
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C100006062
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001181001
—
DE
01
—
2101752000
PENNSYLVANIA BLUE CROSS
PA
01
—
2101752000
DELAWARE VALLEY HMO
—
01
—
231653
MAMSI
—
05
—
467501100
—
MD
01
—
510315372001
CHAMPUS
—
05
—
8756503
—
NJ
01
—
BLUE CROSS
DELAWARE BLUE CROSS
DE
01
—
H55353
FIRST STATE HEALTH PLAN
—
Enumeration date
08/14/2006
Last updated
03/07/2013
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