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Individual

RAMA JASTY RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2222 CHERRY ST, SUITE 2800, TOLEDO, OH 43608-2673
(419) 251-8210
(419) 251-7700
Mailing address
2222 CHERRY ST, SUITE 2800, TOLEDO, OH 43608-2673
(419) 251-8210
(419) 251-7700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301054019
MI
2080P0207X
Pediatric Hematology & Oncology Physician
35070278
OH
2080P0207X
Pediatric Hematology & Oncology Physician
4301054019
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0146685
OH
Enumeration date
09/19/2005
Last updated
04/24/2015
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