Individual
ANNAPURNA C. RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200300398
NC
2085R0202X
Diagnostic Radiology Physician
Primary
46559
MA
208D00000X
General Practice Physician
30374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140G3
BCBS
NC
05
—
5902110
—
NC
Enumeration date
08/20/2006
Last updated
03/17/2025
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