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Individual

PATRICK M RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101044078
VA
2085R0202X
Diagnostic Radiology Physician
35.084863
OH
2085R0202X
Diagnostic Radiology Physician
Primary
4301073012
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000340306
ANTHEM BCBS
OH
05
2493154
OH
01
P00141201
RAILROAD MEDICARE
OH
Enumeration date
03/28/2006
Last updated
12/15/2023
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