Individual
DR. KIRAN PRABHAKER RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 BISCAYNE BLVD, SUITE 230, MIAMI, FL 33137-9800
(786) 466-8490
Mailing address
1500 NW 12TH AVE, SUITE 810, MIAMI, FL 33136-1051
(305) 585-6649
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME 102003
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME102003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428200
—
FL
01
—
51054
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/07/2007
Last updated
09/17/2014
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