Individual
DR. RAO IVATURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, CNS
Contact information
Practice address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 234-6391
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01257428
RAILROAD MEDICARE
IN
Enumeration date
06/11/2007
Last updated
02/13/2014
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