Individual
DR. MUKESH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 RIVERSIDE DR, SUITE 206, BINGHAMTON, NY 13905-4176
(607) 798-6176
(607) 798-6755
Mailing address
161 RIVERSIDE DR, SUITE 206, BINGHAMTON, NY 13905-4176
(607) 798-6176
(607) 798-6755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
183497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210851
—
NY
Enumeration date
11/16/2006
Last updated
07/08/2007
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