Individual
KAMINENI S RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11015 OLSON DR, SUITE 3, RANCHO CORDOVA, CA 95670
(916) 635-5375
(916) 635-2145
Mailing address
11015 OLSON DR, SUITE 3, RANCHO CORDOVA, CA 95670
(916) 635-5375
(916) 635-2145
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A348970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A348970
—
CA
Enumeration date
02/06/2007
Last updated
12/06/2011
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