Individual
AKSHATHA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1406 W 5TH ST, SUITE 201, LONDON, KY 40741-1688
(606) 330-2377
(606) 330-2369
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49428
KY
207RN0300X
Nephrology Physician
49428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100425930
—
KY
Enumeration date
08/02/2011
Last updated
05/03/2019
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