Individual
BABU V RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 STONEBRIDGE BLVD, JACKSON, TN 38305-2179
(731) 660-3500
(731) 660-3507
Mailing address
241 STONEBRIDGE BLVD, JACKSON, TN 38305-2179
(731) 660-3500
(731) 660-3507
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD0000021480
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060069
—
TN
05
—
64712649
—
KY
01
—
P00670752
RR MEDICARE
—
05
—
Q009489
—
TN
Enumeration date
02/06/2006
Last updated
06/17/2016
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