Individual
DR. KIRAN VENKAT RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
532 LAFAYETTE RD, SUITE 100, SPARTA, NJ 07871-4411
(973) 383-3730
(973) 383-2285
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA08417800
NJ
207RI0008X
Hepatology Physician
25MA08417800
NJ
Other
Enumeration date
08/20/2008
Last updated
07/18/2014
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