Individual
DR. NIKHIL PILLARISETTI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-3815
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME127325
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD191260
OR
2084P0804X
Child & Adolescent Psychiatry Physician
ME127325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018849700
—
FL
05
—
500758359
—
OR
Enumeration date
04/10/2009
Last updated
04/12/2019
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