Individual
DR. THARAKNATH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14767 CALLE CARLA, RANCHO SANTA FE, CA 92067
(858) 205-7336
Mailing address
14787 CALLE CARLA, #8944, RANCHO SANTA FE, CA 92067-5201
(858) 205-7336
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301069796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301069796
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
10/19/2016
Last updated
06/17/2019
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