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Individual

DR. DEVAGUPTAPU BHASKAR RAO

Active
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Individual

DR. DEVAGUPTAPU BHASKAR RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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