Individual
DR. GEETHA A RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8501 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-3151
(310) 248-7000
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095611
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01071356A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301095611
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A68863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073430
—
IN
Enumeration date
02/28/2007
Last updated
07/23/2021
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