Individual
YASHODA DHRUVA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Mailing address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD044932E
PA
207RN0300X
Nephrology Physician
Primary
MD044932E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000583466
BLUE SHIELD
PA
05
—
0011884020001
—
PA
01
—
01941401
KEYSTONE
PA
01
—
020301000
FEDERAL BLACK LUNG
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110031034
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
38786
GEISINGER HEALTH PLAN
PA
01
—
50047347
CAPITAL BLUE CROSS
PA
Enumeration date
02/09/2006
Last updated
08/31/2021
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