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Individual

POORNIMA B. RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A113359
CA
208600000X
Surgery Physician
Primary
MD203624
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500792808
OR
Enumeration date
05/15/2008
Last updated
12/27/2021
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