Individual
DR. SIDDHARTHA ANNAMRAJU RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CRESCENT GRN STE 102, CARY, NC 27518-8117
(919) 630-1226
(727) 474-0055
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-00449
NC
207RC0000X
Cardiovascular Disease Physician
200400449
NC
207RI0011X
Interventional Cardiology Physician
Primary
200400449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004-00449
MEDICAL LICENSE #
NC
05
—
5918575
—
NC
05
—
NC1496
—
SC
Enumeration date
10/18/2006
Last updated
04/14/2021
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