Individual
DR. THARAKNATH RAO
Active
Individual
DR. THARAKNATH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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