Individual
DR. ANITHA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-6450
Mailing address
2504 SEQUOIA PKWY, ANN ARBOR, MI 48103-2660
(419) 283-7846
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
036.135675
IL
2084N0400X
Neurology Physician
Primary
01086698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300056925
—
IN
Enumeration date
04/27/2009
Last updated
04/23/2024
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