Individual
KVR MOHAN RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 CAREW STREET, 2ND FLOOR, SPRINGFIELD, MA 01104-4103
(413) 739-5661
(413) 731-1249
Mailing address
222 CAREW STREET, 2ND FLOOR, SPRINGFIELD, MA 01104-4103
(413) 739-5661
(413) 731-1249
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
40972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072289
—
MA
Enumeration date
06/14/2006
Last updated
05/10/2024
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