Individual
DR. SUPRASAD M RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 BIRCHWOOD AVE, STE. 201, BELLINGHAM, WA 98225-1720
(360) 788-6870
(360) 788-6872
Mailing address
808 S SILVERWOOD RD, MUNCIE, IN 47304-4073
(505) 807-1508
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01061494A
IN
2084N0400X
Neurology Physician
MD60148208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200821450
—
IN
Enumeration date
06/02/2006
Last updated
05/11/2010
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