Individual
DR. INDIRA SRINIVASA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
14869R
LA
208M00000X
Hospitalist Physician
39515-20
WI
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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