Individual
DR. NAGARJUN RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8442
(414) 805-8444
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8442
(414) 805-8444
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42264-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275589293
—
WI
Enumeration date
05/25/2006
Last updated
12/15/2021
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