Individual
DR. RAO R KOSARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 MOWRY AVE, SUITE L, FREMONT, CA 94538-1731
(510) 373-3000
(510) 744-9959
Mailing address
1999 MOWRY AVE, SUITE L, FREMONT, CA 94538-1731
(510) 373-3000
(510) 744-9959
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
43123
AZ
207KA0200X
Allergy Physician
Primary
A30703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
Enumeration date
05/19/2006
Last updated
07/24/2015
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