Individual
GEETHA P RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
719 WEST NYACK ROAD, SUITE #30, WEST NYACK, NY 10994-2241
(845) 358-9102
(845) 358-0091
Mailing address
719 WEST NYACK ROAD, SUITE #30, WEST NYACK, NY 10994-2241
(845) 358-9102
(845) 358-0091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
145525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00761486
—
NY
01
—
20397
AETNA
—
01
—
RP044
OXFORD
—
Enumeration date
09/22/2006
Last updated
07/08/2007
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