Individual
DR. DATTATREYA P V RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D,FACC
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-7067
(305) 243-1731
Mailing address
1120 NW 14TH ST STE 1107, MIAMI, FL 33136-2107
(305) 243-7067
(305) 243-1731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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