Individual
RAMACHANDRA N RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18275 N 59TH AVE, STE 142, GLENDALE, AZ 85308-1260
(602) 564-0110
(602) 564-0111
Mailing address
18275 N 59TH AVE, 142, GLENDALE, AZ 85308-1253
(602) 564-0110
(602) 564-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428088
—
AZ
Enumeration date
08/04/2005
Last updated
07/23/2012
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