Organization
NORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURGA E RAO M.D. (OWNER)
(978) 689-2500
Entity
Organization
Contact information
Practice address
411 MERRIMACK ST, SUITE 204, METHUEN, MA 01844-5821
(978) 689-2500
(978) 689-2502
Mailing address
411 MERRIMACK ST, SUITE 204, METHUEN, MA 01844-5821
(978) 689-2500
(978) 689-2502
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
206923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9790683
—
MA
01
—
M19469
BS OF MA
MA
05
—
RAO30204898
—
NH
Enumeration date
12/18/2007
Last updated
10/10/2012
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