Individual
DR. PROMILA B RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, SUITE 510, COLUMBIA, SC 29203-6849
(803) 434-6771
(803) 434-3955
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245416
—
SC
Enumeration date
12/16/2005
Last updated
03/15/2018
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