Individual
KRISHNAMOORTHY BAIKADY RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
585 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Mailing address
585-597 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216072
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
216072
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029032
NEIGHBORHOOD HEALTH PLAN
—
01
—
0408633
UNITED HEALTH CARE
—
01
—
042881348
CHOICECARE
—
05
—
1305557
—
MA
01
—
3320315
AETNA
—
01
—
468563
TUFTS
—
01
—
59845
FALLON
—
01
—
7846502
CIGNA
—
01
—
973042
NETWORK HEALTH
—
01
—
A1440
HARVARD PILGRIM HEALTHCAR
—
01
—
J26210
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/02/2006
Last updated
08/06/2008
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