Individual
PRAKASH J RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 SAINT RAYMONDS AVE, ANESTHESIA DEPT, BRONX, NY 10461-3124
(718) 430-7473
(718) 430-7336
Mailing address
PO BOX A, ASSURE ANESTHESIA, NORTH BELLMORE, NY 11710-0745
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01737815
—
NY
01
—
P00154679
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
09/24/2018
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