Individual
DR. ANOOP KUMAR HOLALAKERE SREENIVASA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
243 ELM STREET, CLAREMONT, NH 03743-2099
(603) 542-7771
(603) 543-6950
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2018-0201
NM
207QA0505X
Adult Medicine Physician
17060
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025422
—
VT
05
—
3101868
—
NH
01
—
T400243393
MEDICARE PTAN
NH
Enumeration date
07/18/2012
Last updated
08/29/2018
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