Individual
DR. DEVIKA RADHIKA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 456-2857
(214) 456-5406
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 456-2857
(214) 456-5406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002219
GA
208000000X
Pediatrics Physician
P3798
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
P3798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002219
GA TRAINING PERMIT NUMER
GA
Enumeration date
01/30/2008
Last updated
09/26/2012
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