Individual
JAYASREE N RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 BALTIMORE, SAN ANTONIO, TX 78215-1907
(210) 290-8000
Mailing address
PO BOX 65057, SAN ANTONIO, TX 78265-5057
(210) 299-8000
(210) 979-0814
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M2452
TX
207RX0202X
Medical Oncology Physician
M2452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1815280403
—
TX
01
—
5032088
AETNA PIN#
—
01
—
P00947300
RR MEDICARE
TX
Enumeration date
06/28/2006
Last updated
05/21/2020
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