Individual
RANI NAGAMALLIKA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4402 FRANCIS LEWIS BLVD STE A, BAYSIDE, NY 11361-3043
(718) 631-0500
Mailing address
888 MAIN ST APT 547, NEW YORK, NY 10044-0219
(630) 248-4533
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
303181
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
36086930
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36086930
—
IL
Enumeration date
02/27/2006
Last updated
07/17/2023
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